Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.37 / $4,857.34 / $9,124.20	Facility		$609.37	$4,857.34	$9,124.20
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,419.61 / $1,419.61 / $3,916.00	Facility	50	$1,419.61	$1,419.61	$3,916.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.60 / $482.23 / $692.18	Professional		$340.60	$482.23	$692.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $405.42 / $600.47 / $729.76	Professional		$405.42	$600.47	$729.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,589.61 / $4,190.16 / $5,708.15	Facility		$3,589.61	$4,190.16	$5,708.15
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,268.75 / $2,935.51 / $3,870.27	Facility	50	$2,268.75	$2,935.51	$3,870.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.02 / $660.85 / $1,060.18	Professional		$108.02	$660.85	$1,060.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.54 / $550.38 / $962.33	Professional		$408.54	$550.38	$962.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $504.56 / $4,112.00 / $9,124.20	Facility		$504.56	$4,112.00	$9,124.20
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $1,419.61 / $3,916.00 / $3,916.00	Facility	50	$1,419.61	$3,916.00	$3,916.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $426.67 / $556.14 / $772.22	Professional		$426.67	$556.14	$772.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $364.43 / $594.77	Professional		$68.66	$364.43	$594.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $500.29 / $624.66 / $982.26	Professional		$500.29	$624.66	$982.26