Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.85 / $387.01 / $830.68	Facility		$294.85	$387.01	$830.68
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $255.44 / $279.52 / $594.59	Facility	54	$255.44	$279.52	$594.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.78 / $287.19 / $428.59	Professional		$208.78	$287.19	$428.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $221.65 / $221.65 / $221.65	Professional		$221.65	$221.65	$221.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $214.05 / $250.81 / $357.33	Facility		$214.05	$250.81	$357.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $289.41 / $649.45	Professional		$74.31	$289.41	$649.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.57 / $308.32 / $556.91	Professional		$219.57	$308.32	$556.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $272.80 / $376.57 / $1,032.63	Facility		$272.80	$376.57	$1,032.63
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $255.44 / $594.59 / $594.59	Facility	54	$255.44	$594.59	$594.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $244.64 / $329.18 / $483.38	Professional		$244.64	$329.18	$483.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.30 / $155.17 / $335.51	Professional		$32.30	$155.17	$335.51
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 $269.57 / $321.14 / $441.57	Professional		$269.57	$321.14	$441.57