Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.97 / $443.50 / $4,933.00	Facility		$396.97	$443.50	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $297.73 / $309.18 / $332.63	Facility	54	$297.73	$309.18	$332.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.04 / $348.08 / $583.39	Professional		$269.04	$348.08	$583.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $325.74 / $325.74 / $325.74	Professional		$325.74	$325.74	$325.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.08 / $216.06 / $292.73	Facility		$184.08	$216.06	$292.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.60 / $438.68 / $760.01	Professional		$88.60	$438.68	$760.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.76 / $353.47 / $659.71	Professional		$249.76	$353.47	$659.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $320.14 / $427.07 / $4,933.00	Facility		$320.14	$427.07	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $297.73 / $297.73 / $320.30	Facility	54	$297.73	$297.73	$320.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $319.37 / $383.25 / $593.87	Professional		$319.37	$383.25	$593.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $225.28 / $401.02	Professional		$33.83	$225.28	$401.02
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 $314.54 / $370.42 / $511.53	Professional		$314.54	$370.42	$511.53