Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.74 / $1,994.92 / $4,112.00	Facility		$282.74	$1,994.92	$4,112.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $141.37 / $141.37 / $451.40	Facility	52	$141.37	$141.37	$451.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.53 / $430.69 / $914.25	Professional		$218.53	$430.69	$914.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $210.23 / $211.74 / $399.25	Professional		$210.23	$211.74	$399.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,519.21 / $3,724.66 / $5,142.26	Facility		$2,519.21	$3,724.66	$5,142.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $82.80 / $397.39	Professional		$56.30	$82.80	$397.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.30 / $594.08 / $1,338.70	Professional		$239.30	$594.08	$1,338.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $356.25 / $3,111.97 / $4,933.00	Facility		$356.25	$3,111.97	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $141.37 / $141.37 / $451.40	Facility	52	$141.37	$141.37	$451.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $252.71 / $710.06 / $1,056.34	Professional		$252.71	$710.06	$1,056.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $589.18 / $741.04 / $1,061.41	Professional		$589.18	$741.04	$1,061.41
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 $733.21 / $951.32 / $1,355.74	Professional		$733.21	$951.32	$1,355.74