Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.28 / $485.80 / $4,933.00	Facility		$371.28	$485.80	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $278.45 / $289.17 / $307.30	Facility	54	$278.45	$289.17	$307.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.70 / $371.48 / $543.60	Professional		$296.70	$371.48	$543.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $278.39 / $412.99 / $422.15	Professional		$278.39	$412.99	$422.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $298.97 / $352.67 / $496.18	Facility		$298.97	$352.67	$496.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.67 / $456.15 / $821.06	Professional		$86.67	$456.15	$821.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.59 / $369.71 / $623.14	Professional		$234.59	$369.71	$623.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $308.39 / $450.59 / $4,933.00	Facility		$308.39	$450.59	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $278.45 / $278.45 / $295.91	Facility	54	$278.45	$278.45	$295.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $308.39 / $385.56 / $552.04	Professional		$308.39	$385.56	$552.04
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 $296.97 / $394.69 / $508.79	Professional		$296.97	$394.69	$508.79