Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.61 / $408.02 / $4,933.00	Facility		$302.61	$408.02	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $226.96 / $233.88 / $242.87	Facility	54	$226.96	$233.88	$242.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.56 / $240.81 / $336.78	Professional		$195.56	$240.81	$336.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $350.68 / $350.68 / $350.68	Professional		$350.68	$350.68	$350.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.10 / $255.48 / $359.44	Facility		$218.10	$255.48	$359.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.80 / $398.38 / $607.07	Professional		$68.80	$398.38	$607.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.95 / $263.77 / $507.76	Professional		$183.95	$263.77	$507.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $231.01 / $2,056.00 / $4,933.00	Facility		$231.01	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $226.96 / $226.96 / $233.88	Facility	54	$226.96	$226.96	$233.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $214.93 / $275.35 / $392.49	Professional		$214.93	$275.35	$392.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $184.05 / $281.49	Professional		$32.13	$184.05	$281.49
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.45 / $270.33 / $372.45	Professional		$225.45	$270.33	$372.45