Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.30 / $444.61 / $4,933.00	Facility		$386.30	$444.61	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $304.85 / $316.58 / $333.46	Facility	54	$304.85	$316.58	$333.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.73 / $394.13 / $593.16	Professional		$271.73	$394.13	$593.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $321.14 / $325.77 / $353.61	Professional		$321.14	$325.77	$353.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.32 / $226.85 / $319.17	Facility		$192.32	$226.85	$319.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.03 / $332.75 / $668.29	Professional		$67.03	$332.75	$668.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.12 / $360.25 / $681.08	Professional		$252.12	$360.25	$681.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $323.75 / $429.62 / $4,933.00	Facility		$323.75	$429.62	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $304.85 / $304.85 / $321.11	Facility	54	$304.85	$304.85	$321.11
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $301.27 / $418.72 / $576.70	Professional		$301.27	$418.72	$576.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $224.71 / $401.02	Professional		$33.81	$224.71	$401.02
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 $316.74 / $381.90 / $521.96	Professional		$316.74	$381.90	$521.96