Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.92 / $705.43 / $3,251.69	Facility		$380.92	$705.43	$3,251.69
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $495.65 / $514.71 / $543.47	Facility	54	$495.65	$514.71	$543.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.55 / $660.86 / $1,208.25	Professional		$499.55	$660.86	$1,208.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $523.09 / $704.04 / $731.12	Professional		$523.09	$704.04	$731.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $927.22 / $1,093.74 / $1,474.46	Facility		$927.22	$1,093.74	$1,474.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.25 / $793.28 / $1,249.43	Professional		$140.25	$793.28	$1,249.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.45 / $630.15 / $1,096.91	Professional		$405.45	$630.15	$1,096.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $444.44 / $981.75 / $3,978.60	Facility		$444.44	$981.75	$3,978.60
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $495.65 / $495.65 / $523.34	Facility	54	$495.65	$495.65	$523.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $533.33 / $697.33 / $1,208.25	Professional		$533.33	$697.33	$1,208.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $363.83 / $610.76	Professional		$68.50	$363.83	$610.76
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $539.79 / $674.74 / $891.51	Professional		$539.79	$674.74	$891.51