Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.92 / $556.41 / $2,878.00	Facility		$59.92	$556.41	$2,878.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $23.78 / $23.78 / $139.36	Facility	52	$23.78	$23.78	$139.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.26 / $80.26 / $278.72	Professional		$34.26	$80.26	$278.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $39.68 / $51.58	Professional		$39.68	$39.68	$51.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $546.53 / $745.13 / $1,786.69	Facility		$546.53	$745.13	$1,786.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $47.06 / $69.70	Professional		$10.03	$47.06	$69.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $172.31 / $426.31	Professional		$39.68	$172.31	$426.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $637.41 / $2,878.00	Facility		$123.03	$637.41	$2,878.00
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $23.78 / $23.78 / $139.36	Facility	52	$23.78	$23.78	$139.36
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $218.87 / $298.91	Professional		$35.07	$218.87	$298.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $236.97 / $340.87	Professional		$189.38	$236.97	$340.87
United Facility/Professional Facility Modifier Low / Median / High Price $263.26 / $1,209.00 / $1,844.00	Facility		$263.26	$1,209.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.50 / $292.52 / $410.83	Professional		$225.50	$292.52	$410.83