Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.69 / $1,016.80 / $17,135.59	Facility		$791.69	$1,016.80	$17,135.59
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,732.93 / $7,732.93 / $7,732.93	Facility	50	$7,732.93	$7,732.93	$7,732.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.62 / $769.35 / $968.39	Professional		$562.62	$769.35	$968.39
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,037.06 / $2,037.06 / $2,037.06	Professional	50	$2,037.06	$2,037.06	$2,037.06
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $707.82 / $707.82 / $707.82	Professional	50	$707.82	$707.82	$707.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,710.39 / $3,159.05 / $4,280.01	Facility		$2,710.39	$3,159.05	$4,280.01
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,550.06 / $2,201.07 / $2,786.76	Facility	50	$1,550.06	$2,201.07	$2,786.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.49 / $1,091.83 / $1,703.26	Professional		$180.49	$1,091.83	$1,703.26
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,637.75 / $1,637.75 / $2,011.64	Professional	50	$1,637.75	$1,637.75	$2,011.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $692.32 / $1,023.95 / $1,560.88	Professional		$692.32	$1,023.95	$1,560.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $831.27 / $4,933.00 / $6,907.00	Facility		$831.27	$4,933.00	$6,907.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $7,732.93 / $7,732.93 / $7,732.93	Facility	50	$7,732.93	$7,732.93	$7,732.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $700.34 / $855.51 / $1,278.27	Professional		$700.34	$855.51	$1,278.27
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $2,037.06 / $2,037.06 / $2,037.06	Professional	50	$2,037.06	$2,037.06	$2,037.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $559.44 / $963.11	Professional		$68.56	$559.44	$963.11
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 $902.63 / $1,042.31 / $1,349.71	Professional		$902.63	$1,042.31	$1,349.71