Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.50 / $1,445.98 / $4,933.00	Facility		$312.50	$1,445.98	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $234.38 / $243.39 / $264.33	Facility	54	$234.38	$243.39	$264.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.00 / $312.50 / $481.78	Professional		$214.00	$312.50	$481.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $203.52 / $453.79 / $453.79	Professional		$203.52	$453.79	$453.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.37 / $217.14 / $292.73	Facility		$185.37	$217.14	$292.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.61 / $406.80 / $627.63	Professional		$73.61	$406.80	$627.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.17 / $281.89 / $525.39	Professional		$201.17	$281.89	$525.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $258.08 / $2,056.00 / $4,933.00	Facility		$258.08	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $234.38 / $234.38 / $254.54	Facility	54	$234.38	$234.38	$254.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $257.66 / $319.68 / $478.49	Professional		$257.66	$319.68	$478.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.06 / $216.54 / $328.36	Professional		$32.06	$216.54	$328.36
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 $256.75 / $302.01 / $417.53	Professional		$256.75	$302.01	$417.53