Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.40 / $2,877.00 / $6,906.00	Facility		$233.40	$2,877.00	$6,906.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $111.15 / $111.15 / $367.59	Facility	52	$111.15	$111.15	$367.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.25 / $233.40 / $736.23	Professional		$168.25	$233.40	$736.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.59 / $233.92 / $306.33	Professional		$150.59	$233.92	$306.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.16 / $3,017.86 / $4,045.35	Facility		$2,041.16	$3,017.86	$4,045.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.58 / $171.24 / $290.24	Professional		$49.58	$171.24	$290.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.55 / $423.63 / $1,116.03	Professional		$185.55	$423.63	$1,116.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $226.29 / $2,877.00 / $5,929.09	Facility		$226.29	$2,877.00	$5,929.09
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $111.15 / $111.15 / $367.59	Facility	52	$111.15	$111.15	$367.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $179.56 / $280.08 / $790.18	Professional		$179.56	$280.08	$790.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $461.41 / $572.30 / $824.88	Professional		$461.41	$572.30	$824.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $4,857.00 / $6,036.00	Facility		$1,050.00	$4,857.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.43 / $666.53 / $939.21	Professional		$236.43	$666.53	$939.21