Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.53 / $398.89 / $2,877.00	Facility		$212.53	$398.89	$2,877.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $288.08 / $318.49 / $892.94	Facility	54	$288.08	$318.49	$892.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.07 / $326.45 / $523.29	Professional		$266.07	$326.45	$523.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $315.99 / $315.99 / $503.60	Professional		$315.99	$315.99	$503.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $455.20 / $536.95 / $723.85	Facility		$455.20	$536.95	$723.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.66 / $426.00 / $808.33	Professional		$79.66	$426.00	$808.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.58 / $350.00 / $641.44	Professional		$249.58	$350.00	$641.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $212.53 / $398.88 / $4,933.00	Facility		$212.53	$398.88	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $288.08 / $892.94 / $892.94	Facility	54	$288.08	$892.94	$892.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $293.91 / $384.11 / $567.22	Professional		$293.91	$384.11	$567.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.30 / $180.50 / $404.72	Professional		$32.30	$180.50	$404.72
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 $304.95 / $365.74 / $513.35	Professional		$304.95	$365.74	$513.35