Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.50 / $2,056.00 / $11,992.27	Facility		$945.50	$2,056.00	$11,992.27
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $793.99 / $793.99 / $823.40	Facility	54	$793.99	$793.99	$823.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.08 / $813.05 / $1,371.62	Professional		$599.08	$813.05	$1,371.62
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $115.58 / $158.80 / $164.68	Professional	55	$115.58	$158.80	$164.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $747.56 / $796.25 / $1,400.70	Professional		$747.56	$796.25	$1,400.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,017.48 / $3,516.98 / $4,764.95	Facility		$3,017.48	$3,516.98	$4,764.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.72 / $968.08 / $1,724.38	Professional		$205.72	$968.08	$1,724.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.38 / $790.14 / $1,605.38	Professional		$584.38	$790.14	$1,605.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $706.29 / $2,056.00 / $11,992.27	Facility		$706.29	$2,056.00	$11,992.27
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $793.99 / $793.99 / $793.99	Facility	54	$793.99	$793.99	$793.99
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $644.01 / $881.10 / $1,263.10	Professional		$644.01	$881.10	$1,263.10
Health Alliance Plan Facility/Professional Professional Modifier 55 Low / Median / High Price $122.72 / $158.80 / $164.68	Professional	55	$122.72	$158.80	$164.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $536.61 / $911.68	Professional		$68.34	$536.61	$911.68
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 $757.51 / $881.71 / $1,203.30	Professional		$757.51	$881.71	$1,203.30