Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.77 / $254.19 / $4,933.00	Facility		$242.77	$254.19	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $182.08 / $183.59 / $190.64	Facility	54	$182.08	$183.59	$190.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $195.35 / $331.30	Professional		$151.78	$195.35	$331.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $201.83 / $204.07 / $278.88	Professional		$201.83	$204.07	$278.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.88 / $299.48 / $403.72	Facility		$253.88	$299.48	$403.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $243.02 / $506.83	Professional		$51.64	$243.02	$506.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.87 / $207.48 / $404.14	Professional		$144.87	$207.48	$404.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $183.07 / $252.11 / $4,933.00	Facility		$183.07	$252.11	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $182.08 / $182.08 / $183.59	Facility	54	$182.08	$182.08	$183.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $166.36 / $242.77 / $342.87	Professional		$166.36	$242.77	$342.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $135.73 / $233.70	Professional		$30.69	$135.73	$233.70
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 $179.15 / $213.19 / $300.39	Professional		$179.15	$213.19	$300.39