Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.91 / $933.96 / $8,060.00	Facility		$613.91	$933.96	$8,060.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $460.44 / $477.50 / $667.12	Facility	54	$460.44	$477.50	$667.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.37 / $570.89 / $889.49	Professional		$387.37	$570.89	$889.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $470.37 / $470.37 / $1,140.59	Professional		$470.37	$470.37	$1,140.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,253.66 / $2,626.71 / $3,558.78	Facility		$2,253.66	$2,626.71	$3,558.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.46 / $711.11 / $1,120.01	Professional		$134.46	$711.11	$1,120.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.06 / $560.79 / $860.96	Professional		$389.06	$560.79	$860.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $637.47 / $4,933.00 / $11,992.27	Facility		$637.47	$4,933.00	$11,992.27
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $460.44 / $460.44 / $643.29	Facility	54	$460.44	$460.44	$643.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $481.23 / $637.47 / $1,029.27	Professional		$481.23	$637.47	$1,029.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $426.90 / $700.67	Professional		$67.94	$426.90	$700.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,708.00 / $8,884.00	Facility		$1,450.00	$5,708.00	$8,884.00
United Facility/Professional Professional Modifier Low / Median / High Price $638.02 / $778.93 / $1,034.43	Professional		$638.02	$778.93	$1,034.43