Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.53 / $530.95 / $4,933.00	Facility		$453.53	$530.95	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $340.15 / $353.24 / $384.18	Facility	54	$340.15	$353.24	$384.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.18 / $470.98 / $696.26	Professional		$318.18	$470.98	$696.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.94 / $338.94 / $338.94	Professional		$338.94	$338.94	$338.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $405.58 / $475.09 / $640.46	Facility		$405.58	$475.09	$640.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.49 / $501.60 / $893.85	Professional		$98.49	$501.60	$893.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.61 / $409.56 / $755.69	Professional		$289.61	$409.56	$755.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $378.70 / $530.95 / $4,933.00	Facility		$378.70	$530.95	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $340.15 / $340.15 / $369.95	Facility	54	$340.15	$340.15	$369.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $378.70 / $485.59 / $720.51	Professional		$378.70	$485.59	$720.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $268.56 / $476.97	Professional		$33.92	$268.56	$476.97
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 $373.11 / $443.00 / $609.64	Professional		$373.11	$443.00	$609.64