Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.62 / $233.94 / $4,933.00	Facility		$149.62	$233.94	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $118.75 / $123.32 / $139.25	Facility	54	$118.75	$123.32	$139.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.84 / $153.63 / $244.65	Professional		$113.84	$153.63	$244.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.77 / $143.40 / $146.68	Professional		$129.77	$143.40	$146.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.72 / $182.77 / $247.62	Facility		$155.72	$182.77	$247.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $205.48 / $326.52	Professional		$33.27	$205.48	$326.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.45 / $152.40 / $267.74	Professional		$105.45	$152.40	$267.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $141.81 / $233.94 / $4,933.00	Facility		$141.81	$233.94	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $118.75 / $118.75 / $134.09	Facility	54	$118.75	$118.75	$134.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $164.41 / $245.83	Professional		$131.88	$164.41	$245.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $100.71 / $161.48	Professional		$30.69	$100.71	$161.48
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 $137.40 / $165.33 / $252.60	Professional		$137.40	$165.33	$252.60