Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $5,370.32 / $13,182.57	Facility		$1,318.26	$5,370.32	$13,182.57
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,456.54 / $10,000.00 / $23,442.29	Facility	50	$6,456.54	$10,000.00	$23,442.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $1,905.46	Professional		$524.81	$776.25	$1,905.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,122.02	Professional		$537.03	$724.44	$1,122.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,479.11 / $1,479.11	Facility		$616.60	$1,479.11	$1,479.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,412.54 / $1,479.11	Professional		$616.60	$1,412.54	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $831.76 / $1,202.26	Professional		$436.52	$831.76	$1,202.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,897.79 / $9,549.93	Facility		$1,318.26	$4,897.79	$9,549.93
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $6,456.54 / $10,000.00 / $23,442.29	Facility	50	$6,456.54	$10,000.00	$23,442.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,548.82	Professional		$575.44	$794.33	$1,548.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $1,023.29	Professional		$660.69	$831.76	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,011.87 / $10,232.93	Facility		$2,511.89	$5,011.87	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,071.52	Professional		$588.84	$776.25	$1,071.52