Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.45 / $2,056.00 / $4,933.00	Facility		$316.45	$2,056.00	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $237.35 / $246.47 / $264.29	Facility	54	$237.35	$246.47	$264.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.43 / $291.25 / $460.16	Professional		$215.43	$291.25	$460.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.82 / $281.82 / $281.82	Professional		$281.82	$281.82	$281.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.64 / $281.27 / $381.08	Facility		$239.64	$281.27	$381.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $309.05 / $486.76	Professional		$52.54	$309.05	$486.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.46 / $285.45 / $531.16	Professional		$200.46	$285.45	$531.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $258.66 / $2,056.00 / $4,933.00	Facility		$258.66	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $237.35 / $237.35 / $254.51	Facility	54	$237.35	$237.35	$254.51
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $229.40 / $316.45 / $448.38	Professional		$229.40	$316.45	$448.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $200.82 / $322.97	Professional		$30.69	$200.82	$322.97
United Facility/Professional Facility Modifier Low / Median / High Price $174.86 / $1,155.00 / $1,844.00	Facility		$174.86	$1,155.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $257.48 / $302.69 / $417.32	Professional		$257.48	$302.69	$417.32