Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.42 / $2,877.00 / $5,435.76	Facility		$538.42	$2,877.00	$5,435.76
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $269.22 / $269.22 / $279.57	Facility	52	$269.22	$269.22	$279.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.57 / $444.68 / $745.51	Professional		$376.57	$444.68	$745.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $201.84 / $415.63 / $607.79	Professional		$201.84	$415.63	$607.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,444.48 / $2,869.12 / $3,887.20	Facility		$2,444.48	$2,869.12	$3,887.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.52 / $604.60 / $1,097.82	Professional		$112.52	$604.60	$1,097.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.08 / $518.52 / $907.28	Professional		$313.08	$518.52	$907.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $457.78 / $2,877.00 / $5,435.76	Facility		$457.78	$2,877.00	$5,435.76
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $269.22 / $269.22 / $269.22	Facility	52	$269.22	$269.22	$269.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $398.31 / $477.97 / $745.51	Professional		$398.31	$477.97	$745.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $341.22 / $529.42	Professional		$62.75	$341.22	$529.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,806.00 / $8,339.00	Facility		$1,450.00	$5,806.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.66 / $535.57 / $714.02	Professional		$437.66	$535.57	$714.02