Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.39 / $1,019.90 / $4,441.79	Facility		$223.39	$1,019.90	$4,441.79
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $111.70 / $111.70 / $238.92	Facility	52	$111.70	$111.70	$238.92
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $44.68 / $44.68 / $95.57	Facility	53	$44.68	$44.68	$95.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.37 / $246.58 / $533.09	Professional		$173.37	$246.58	$533.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.30 / $166.46 / $300.36	Professional		$149.30	$166.46	$300.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,616.31 / $2,389.71 / $3,299.24	Facility		$1,616.31	$2,389.71	$3,299.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.27 / $172.54 / $338.57	Professional		$44.27	$172.54	$338.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.82 / $334.56 / $749.36	Professional		$187.82	$334.56	$749.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $223.38 / $1,019.90 / $4,933.00	Facility		$223.38	$1,019.90	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $111.70 / $111.70 / $238.92	Facility	52	$111.70	$111.70	$238.92
Health Alliance Plan Facility/Professional Facility Modifier 53 Low / Median / High Price $44.68 / $44.68 / $95.57	Facility	53	$44.68	$44.68	$95.57
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $189.16 / $307.80 / $551.42	Professional		$189.16	$307.80	$551.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $299.08 / $371.17 / $534.49	Professional		$299.08	$371.17	$534.49
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 $252.35 / $426.06 / $592.83	Professional		$252.35	$426.06	$592.83