Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.20 / $562.27 / $4,933.00	Facility		$393.20	$562.27	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $294.89 / $306.24 / $334.69	Facility	54	$294.89	$306.24	$334.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.93 / $336.47 / $456.19	Professional		$253.93	$336.47	$456.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.24 / $275.24 / $313.52	Professional		$275.24	$275.24	$313.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.10 / $255.55 / $364.08	Facility		$218.10	$255.55	$364.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.95 / $397.27 / $780.11	Professional		$85.95	$397.27	$780.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.06 / $359.37 / $661.86	Professional		$254.06	$359.37	$661.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $332.55 / $2,056.00 / $4,933.00	Facility		$332.55	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $294.89 / $294.89 / $322.29	Facility	54	$294.89	$294.89	$322.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $285.11 / $389.31 / $520.89	Professional		$285.11	$389.31	$520.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $224.71 / $401.02	Professional		$33.81	$224.71	$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 $323.83 / $389.90 / $534.57	Professional		$323.83	$389.90	$534.57