Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,521.55 / $6,853.00 / $10,622.97	Facility		$1,521.55	$6,853.00	$10,622.97
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,141.16 / $1,141.16 / $1,183.43	Facility	54	$1,141.16	$1,141.16	$1,183.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $992.21 / $1,200.67 / $1,906.93	Professional		$992.21	$1,200.67	$1,906.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,069.42 / $1,069.42 / $2,001.44	Professional		$1,069.42	$1,069.42	$2,001.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,293.43 / $10,831.81 / $14,675.39	Facility		$9,293.43	$10,831.81	$14,675.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.72 / $1,658.15 / $2,618.13	Professional		$296.72	$1,658.15	$2,618.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.50 / $1,189.43 / $2,117.98	Professional		$910.50	$1,189.43	$2,117.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,120.43 / $6,853.00 / $11,313.47	Facility		$1,120.43	$6,853.00	$11,313.47
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $1,141.16 / $1,141.16 / $1,141.16	Facility	54	$1,141.16	$1,141.16	$1,141.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,078.72 / $1,249.70 / $1,968.44	Professional		$1,078.72	$1,249.70	$1,968.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.71 / $813.56 / $1,285.18	Professional		$136.71	$813.56	$1,285.18
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,030.00 / $12,726.00	Facility		$4,069.00	$8,030.00	$12,726.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.68 / $1,380.76 / $1,898.79	Professional		$1,174.68	$1,380.76	$1,898.79