Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.30 / $464.00 / $4,933.00	Facility		$269.30	$464.00	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $201.98 / $209.75 / $237.88	Facility	54	$201.98	$209.75	$237.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.78 / $250.08 / $355.47	Professional		$177.78	$250.08	$355.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.16 / $143.16 / $143.16	Professional		$143.16	$143.16	$143.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.37 / $217.21 / $309.45	Facility		$185.37	$217.21	$309.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.04 / $340.44 / $550.02	Professional		$56.04	$340.44	$550.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.88 / $260.39 / $456.80	Professional		$179.88	$260.39	$456.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $233.33 / $2,056.00 / $4,933.00	Facility		$233.33	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $201.98 / $201.98 / $229.07	Facility	54	$201.98	$201.98	$229.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $209.58 / $272.99 / $380.59	Professional		$209.58	$272.99	$380.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $183.98 / $280.85	Professional		$32.13	$183.98	$280.85
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 $231.47 / $277.47 / $379.58	Professional		$231.47	$277.47	$379.58