Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.32 / $548.39 / $2,125.66	Facility		$271.32	$548.39	$2,125.66
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $373.37 / $387.73 / $427.11	Facility	54	$373.37	$387.73	$427.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.39 / $446.33 / $653.17	Professional		$354.39	$446.33	$653.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $254.76 / $285.33 / $370.75	Professional		$254.76	$285.33	$370.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $596.14 / $699.70 / $947.98	Facility		$596.14	$699.70	$947.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $468.41 / $935.33	Professional		$106.00	$468.41	$935.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.99 / $454.06 / $829.21	Professional		$319.99	$454.06	$829.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $361.99 / $569.48 / $4,933.00	Facility		$361.99	$569.48	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $373.37 / $373.37 / $411.29	Facility	54	$373.37	$373.37	$411.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $409.95 / $491.94 / $711.26	Professional		$409.95	$491.94	$711.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $302.35 / $520.23	Professional		$33.96	$302.35	$520.23
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 $430.48 / $501.57 / $678.35	Professional		$430.48	$501.57	$678.35