Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.23 / $2,056.00 / $4,933.00	Facility		$394.23	$2,056.00	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $295.67 / $307.04 / $331.74	Facility	54	$295.67	$307.04	$331.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.92 / $338.01 / $551.17	Professional		$257.92	$338.01	$551.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.99 / $211.99 / $211.99	Professional		$211.99	$211.99	$211.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.58 / $254.20 / $344.40	Facility		$216.58	$254.20	$344.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.77 / $376.99 / $619.63	Professional		$61.77	$376.99	$619.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.41 / $359.47 / $665.67	Professional		$252.41	$359.47	$665.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $333.96 / $2,056.00 / $4,933.00	Facility		$333.96	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $295.67 / $295.67 / $319.45	Facility	54	$295.67	$295.67	$319.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $286.85 / $387.28 / $562.24	Professional		$286.85	$387.28	$562.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $225.28 / $401.02	Professional		$33.83	$225.28	$401.02
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 $327.12 / $387.62 / $533.20	Professional		$327.12	$387.62	$533.20