Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.73 / $2,056.00 / $4,933.00	Facility		$430.73	$2,056.00	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $323.05 / $335.48 / $362.67	Facility	54	$323.05	$335.48	$362.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.82 / $365.48 / $609.28	Professional		$291.82	$365.48	$609.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $277.92 / $383.88 / $383.88	Professional		$277.92	$383.88	$383.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.44 / $298.14 / $424.76	Facility		$254.44	$298.14	$424.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.06 / $519.71 / $947.46	Professional		$93.06	$519.71	$947.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.51 / $384.41 / $717.94	Professional		$274.51	$384.41	$717.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $354.86 / $2,056.00 / $4,933.00	Facility		$354.86	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $323.05 / $323.05 / $349.24	Facility	54	$323.05	$323.05	$349.24
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $323.18 / $430.73 / $614.65	Professional		$323.18	$430.73	$614.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $244.88 / $430.57	Professional		$33.88	$244.88	$430.57
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 $346.25 / $413.01 / $573.75	Professional		$346.25	$413.01	$573.75