Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.95 / $428.82 / $1,850.90	Facility		$267.95	$428.82	$1,850.90
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $194.35 / $201.82 / $222.66	Facility	52	$194.35	$201.82	$222.66
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $291.52 / $587.02 / $982.75	Facility	54	$291.52	$587.02	$982.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.17 / $338.19 / $445.32	Professional		$232.17	$338.19	$445.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $207.55 / $225.61 / $356.14	Professional		$207.55	$225.61	$356.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $397.88 / $469.33 / $632.70	Facility		$397.88	$469.33	$632.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.54 / $430.53 / $816.93	Professional		$84.54	$430.53	$816.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.56 / $344.51 / $629.40	Professional		$251.56	$344.51	$629.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $249.64 / $428.82 / $2,056.00	Facility		$249.64	$428.82	$2,056.00
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $194.35 / $194.35 / $214.42	Facility	52	$194.35	$194.35	$214.42
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $291.52 / $906.28 / $982.75	Facility	54	$291.52	$906.28	$982.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $296.58 / $388.70 / $556.19	Professional		$296.58	$388.70	$556.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $210.24 / $413.27	Professional		$33.92	$210.24	$413.27
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 $292.18 / $360.48 / $504.78	Professional		$292.18	$360.48	$504.78