Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.98 / $2,056.00 / $4,933.00	Facility		$366.98	$2,056.00	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $275.24 / $285.83 / $309.58	Facility	54	$275.24	$285.83	$309.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.28 / $320.01 / $513.02	Professional		$250.28	$320.01	$513.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.35 / $393.35 / $452.84	Professional		$275.35	$393.35	$452.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.58 / $255.48 / $359.44	Facility		$216.58	$255.48	$359.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.44 / $467.67 / $708.25	Professional		$85.44	$467.67	$708.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.98 / $331.41 / $615.48	Professional		$233.98	$331.41	$615.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $304.31 / $2,056.00 / $4,933.00	Facility		$304.31	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $275.24 / $275.24 / $298.11	Facility	54	$275.24	$275.24	$298.11
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $275.31 / $366.98 / $520.09	Professional		$275.31	$366.98	$520.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $195.22 / $360.97	Professional		$33.81	$195.22	$360.97
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 $294.62 / $355.42 / $489.87	Professional		$294.62	$355.42	$489.87