Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.41 / $464.00 / $4,933.00	Facility		$332.41	$464.00	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $249.31 / $258.89 / $285.14	Facility	54	$249.31	$258.89	$285.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.28 / $296.54 / $401.48	Professional		$221.28	$296.54	$401.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $250.64 / $250.64 / $250.64	Professional		$250.64	$250.64	$250.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.08 / $217.14 / $305.51	Facility		$184.08	$217.14	$305.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.87 / $425.71 / $644.71	Professional		$81.87	$425.71	$644.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.30 / $296.22 / $555.07	Professional		$216.30	$296.22	$555.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $268.25 / $438.05 / $4,933.00	Facility		$268.25	$438.05	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $249.31 / $249.31 / $274.58	Facility	54	$249.31	$249.31	$274.58
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $265.27 / $332.41 / $474.86	Professional		$265.27	$332.41	$474.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $194.07 / $360.97	Professional		$33.81	$194.07	$360.97
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 $263.33 / $319.14 / $441.96	Professional		$263.33	$319.14	$441.96