Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.75 / $396.05 / $4,933.00	Facility		$366.75	$396.05	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $275.06 / $285.64 / $308.45	Facility	54	$275.06	$285.64	$308.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.53 / $317.64 / $484.11	Professional		$248.53	$317.64	$484.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $256.77 / $274.89 / $392.70	Professional		$256.77	$274.89	$392.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.37 / $217.21 / $309.45	Facility		$185.37	$217.21	$309.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.27 / $372.34 / $574.46	Professional		$57.27	$372.34	$574.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.49 / $327.22 / $613.34	Professional		$233.49	$327.22	$613.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $302.08 / $366.75 / $4,933.00	Facility		$302.08	$366.75	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $275.06 / $275.06 / $297.04	Facility	54	$275.06	$275.06	$297.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $277.22 / $366.75 / $522.78	Professional		$277.22	$366.75	$522.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $195.22 / $360.97	Professional		$33.81	$195.22	$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 $293.35 / $354.08 / $486.34	Professional		$293.35	$354.08	$486.34