Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,454.71 / $5,370.32	Facility		$575.44	$2,454.71	$5,370.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,511.89 / $2,630.27 / $4,570.88	Facility	50	$2,511.89	$2,630.27	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $446.68 / $1,819.70	Professional		$141.25	$446.68	$1,819.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $208.93 / $467.74	Professional		$125.89	$208.93	$467.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $758.58	Professional		$239.88	$338.84	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $446.68 / $912.01	Professional		$165.96	$446.68	$912.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,344.23 / $4,897.79	Facility		$575.44	$2,344.23	$4,897.79
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $2,511.89 / $2,630.27 / $4,570.88	Facility	50	$2,511.89	$2,630.27	$4,570.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $537.03 / $1,288.25	Professional		$151.36	$537.03	$1,288.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $524.81 / $891.25	Professional		$181.97	$524.81	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,019.95 / $6,025.60	Facility		$1,258.93	$3,019.95	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $524.81 / $933.25	Professional		$190.55	$524.81	$933.25