Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $672.52 / $5,902.88 / $12,046.16	Facility		$672.52	$5,902.88	$12,046.16
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,009.60 / $8,009.60 / $8,649.87	Facility	50	$8,009.60	$8,009.60	$8,649.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.65 / $519.90 / $724.90	Professional		$375.65	$519.90	$724.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $402.77 / $641.82 / $641.82	Professional		$402.77	$641.82	$641.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,494.07 / $4,751.20 / $11,157.57	Facility		$3,494.07	$4,751.20	$11,157.57
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,885.39 / $3,013.81 / $3,623.15	Facility	50	$1,885.39	$3,013.81	$3,623.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.46 / $730.76 / $1,212.08	Professional		$119.46	$730.76	$1,212.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.48 / $606.07 / $1,058.25	Professional		$440.48	$606.07	$1,058.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $672.53 / $5,902.88 / $13,329.46	Facility		$672.53	$5,902.88	$13,329.46
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $8,009.60 / $8,009.60 / $8,649.87	Facility	50	$8,009.60	$8,009.60	$8,649.87
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $472.63 / $598.64 / $818.22	Professional		$472.63	$598.64	$818.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $382.55 / $671.20	Professional		$68.66	$382.55	$671.20
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 $550.28 / $693.91 / $926.78	Professional		$550.28	$693.91	$926.78