Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.78 / $535.21 / $4,933.00	Facility		$393.78	$535.21	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $295.33 / $306.70 / $318.58	Facility	54	$295.33	$306.70	$318.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.35 / $328.42 / $551.95	Professional		$266.35	$328.42	$551.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $447.42 / $447.42 / $447.42	Professional		$447.42	$447.42	$447.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.67 / $298.05 / $401.79	Facility		$252.67	$298.05	$401.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.14 / $480.06 / $777.70	Professional		$88.14	$480.06	$777.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.47 / $352.53 / $660.83	Professional		$238.47	$352.53	$660.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $313.83 / $2,056.00 / $4,933.00	Facility		$313.83	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $295.33 / $295.33 / $306.77	Facility	54	$295.33	$295.33	$306.77
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $303.07 / $393.77 / $562.88	Professional		$303.07	$393.77	$562.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $205.46 / $372.18	Professional		$33.88	$205.46	$372.18
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 $305.22 / $373.42 / $509.44	Professional		$305.22	$373.42	$509.44