Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.58 / $4,933.00 / $5,757.00	Facility		$800.58	$4,933.00	$5,757.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $600.44 / $600.44 / $622.66	Facility	54	$600.44	$600.44	$622.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.21 / $830.23 / $1,056.76	Professional		$581.21	$830.23	$1,056.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,060.55 / $1,060.55 / $1,060.55	Professional		$1,060.55	$1,060.55	$1,060.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,532.37 / $4,117.10 / $5,578.02	Facility		$3,532.37	$4,117.10	$5,578.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.94 / $605.89 / $1,540.41	Professional		$156.94	$605.89	$1,540.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $601.91 / $1,110.83 / $1,373.66	Professional		$601.91	$1,110.83	$1,373.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $996.76 / $4,933.00 / $5,757.00	Facility		$996.76	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $600.44 / $600.44 / $600.44	Facility	54	$600.44	$600.44	$600.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $652.26 / $963.10 / $1,268.61	Professional		$652.26	$963.10	$1,268.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.99 / $391.00 / $677.83	Professional		$67.99	$391.00	$677.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,030.00 / $12,726.00	Facility		$3,500.00	$8,030.00	$12,726.00
United Facility/Professional Professional Modifier Low / Median / High Price $772.69 / $1,204.19 / $1,696.03	Professional		$772.69	$1,204.19	$1,696.03