Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.50 / $1,758.43 / $3,481.93	Facility		$569.50	$1,758.43	$3,481.93
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $427.13 / $476.49 / $554.21	Facility	54	$427.13	$476.49	$554.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.80 / $569.50 / $788.54	Professional		$396.80	$569.50	$788.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $266.25 / $632.58 / $632.58	Professional		$266.25	$632.58	$632.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $962.91 / $1,130.17 / $1,531.21	Facility		$962.91	$1,130.17	$1,531.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.31 / $684.22 / $1,180.29	Professional		$116.31	$684.22	$1,180.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.10 / $532.44 / $935.15	Professional		$370.10	$532.44	$935.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $491.51 / $1,781.60 / $4,933.00	Facility		$491.51	$1,781.60	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $427.13 / $476.49 / $554.21	Facility	54	$427.13	$476.49	$554.21
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $491.51 / $591.41 / $831.29	Professional		$491.51	$591.41	$831.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $349.89 / $597.72	Professional		$68.50	$349.89	$597.72
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $488.49 / $575.75 / $781.42	Professional		$488.49	$575.75	$781.42