Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.95 / $831.15 / $1,657.71	Facility		$55.95	$831.15	$1,657.71
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $27.98 / $27.98 / $130.72	Facility	52	$27.98	$27.98	$130.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $125.98 / $314.18	Professional		$44.20	$125.98	$314.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.03 / $58.32 / $197.57	Professional		$40.03	$58.32	$197.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $705.83 / $959.78 / $2,347.03	Facility		$705.83	$959.78	$2,347.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.60 / $44.31 / $70.11	Professional		$11.60	$44.31	$70.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $73.43 / $73.43	Facility		$73.43	$73.43	$73.43
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $58.74 / $58.74 / $58.74	Facility	52	$58.74	$58.74	$58.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.72 / $158.06 / $436.06	Professional		$44.72	$158.06	$436.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $907.69 / $1,657.71	Facility		$70.48	$907.69	$1,657.71
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $27.98 / $27.98 / $130.72	Facility	52	$27.98	$27.98	$130.72
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $186.93 / $335.86	Professional		$46.82	$186.93	$335.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $159.08 / $197.65 / $279.29	Professional		$159.08	$197.65	$279.29
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,438.00 / $2,029.00	Facility		$464.00	$1,438.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.44 / $236.46 / $347.56	Professional		$199.44	$236.46	$347.56