Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.47 / $4,923.35 / $6,853.00	Facility		$327.47	$4,923.35	$6,853.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $157.88 / $163.74 / $797.77	Facility	52	$157.88	$163.74	$797.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.66 / $710.60 / $1,595.54	Professional		$202.66	$710.60	$1,595.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $130.13 / $508.67 / $797.77	Professional	52	$130.13	$508.67	$797.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $243.04 / $1,033.90 / $1,452.01	Professional		$243.04	$1,033.90	$1,452.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,813.08 / $5,609.81 / $7,600.40	Facility		$4,813.08	$5,609.81	$7,600.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.81 / $349.08 / $549.80	Professional		$69.81	$349.08	$549.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.38 / $486.39 / $2,178.50	Professional		$240.38	$486.39	$2,178.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $333.36 / $4,923.35 / $6,853.00	Facility		$333.36	$4,923.35	$6,853.00
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $157.88 / $157.88 / $769.28	Facility	52	$157.88	$157.88	$769.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $246.60 / $1,165.92 / $1,687.58	Professional		$246.60	$1,165.92	$1,687.58
Health Alliance Plan Facility/Professional Professional Modifier 52 Low / Median / High Price $146.08 / $508.67 / $797.77	Professional	52	$146.08	$508.67	$797.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $962.99 / $1,190.72 / $1,738.62	Professional		$962.99	$1,190.72	$1,738.62
United Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $10,192.00 / $14,705.00	Facility		$5,000.00	$10,192.00	$14,705.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,331.28 / $1,655.78 / $2,135.34	Professional		$1,331.28	$1,655.78	$2,135.34