Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.87 / $706.66 / $4,933.00	Facility		$583.87	$706.66	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $437.90 / $454.75 / $504.76	Facility	54	$437.90	$454.75	$504.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.35 / $583.87 / $703.88	Professional		$413.35	$583.87	$703.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $445.43 / $445.43 / $445.43	Professional		$445.43	$445.43	$445.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,024.15 / $1,202.05 / $1,628.58	Facility		$1,024.15	$1,202.05	$1,628.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.52 / $752.03 / $1,212.94	Professional		$125.52	$752.03	$1,212.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.94 / $538.87 / $971.11	Professional		$378.94	$538.87	$971.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $503.62 / $2,056.00 / $4,933.00	Facility		$503.62	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $437.90 / $437.90 / $486.06	Facility	54	$437.90	$437.90	$486.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $485.77 / $582.91 / $840.56	Professional		$485.77	$582.91	$840.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $349.85 / $576.72	Professional		$68.50	$349.85	$576.72
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 $499.43 / $588.94 / $803.67	Professional		$499.43	$588.94	$803.67