Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.96 / $464.00 / $4,933.00	Facility		$186.96	$464.00	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $219.75 / $228.20 / $245.09	Facility	54	$219.75	$228.20	$245.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.40 / $255.05 / $438.28	Professional		$206.40	$255.05	$438.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.51 / $155.51 / $155.51	Professional		$155.51	$155.51	$155.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.44 / $298.05 / $419.33	Facility		$254.44	$298.05	$419.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.04 / $384.00 / $592.41	Professional		$61.04	$384.00	$592.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.94 / $276.95 / $495.25	Professional		$185.94	$276.95	$495.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $186.96 / $556.69 / $4,933.00	Facility		$186.96	$556.69	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $219.75 / $219.75 / $236.00	Facility	54	$219.75	$219.75	$236.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $230.42 / $293.00 / $438.28	Professional		$230.42	$293.00	$438.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $192.46 / $289.27	Professional		$30.69	$192.46	$289.27
United Facility/Professional Facility Modifier Low / Median / High Price $174.86 / $961.00 / $1,844.00	Facility		$174.86	$961.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.64 / $293.35 / $399.12	Professional		$245.64	$293.35	$399.12