Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.24 / $547.89 / $4,933.00	Facility		$388.24	$547.89	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $291.18 / $302.38 / $326.13	Facility	54	$291.18	$302.38	$326.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.03 / $333.85 / $541.15	Professional		$248.03	$333.85	$541.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $345.02 / $345.02 / $345.02	Professional		$345.02	$345.02	$345.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.10 / $255.55 / $359.44	Facility		$218.10	$255.55	$359.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.68 / $474.58 / $768.82	Professional		$80.68	$474.58	$768.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.41 / $350.41 / $648.44	Professional		$246.41	$350.41	$648.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $322.83 / $2,056.00 / $4,933.00	Facility		$322.83	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $291.18 / $291.18 / $314.06	Facility	54	$291.18	$291.18	$314.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $292.93 / $379.95 / $553.96	Professional		$292.93	$379.95	$553.96
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 $315.04 / $378.49 / $517.26	Professional		$315.04	$378.49	$517.26