Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.51 / $846.65 / $3,008.20	Facility		$66.51	$846.65	$3,008.20
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,126.40 / $1,126.40 / $1,126.40	Facility	50	$1,126.40	$1,126.40	$1,126.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.89 / $135.53 / $222.11	Professional		$46.89	$135.53	$222.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.21 / $67.66 / $153.46	Professional		$46.21	$67.66	$153.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $408.61 / $555.62 / $1,358.70	Facility		$408.61	$555.62	$1,358.70
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $235.32 / $338.96 / $423.06	Facility	50	$235.32	$338.96	$423.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $73.70 / $149.24	Professional		$14.74	$73.70	$149.24
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $100.50 / $118.23 / $377.09	Professional	50	$100.50	$118.23	$377.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.08 / $56.21 / $70.88	Facility		$46.08	$56.21	$70.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $184.44 / $234.46	Professional		$141.88	$184.44	$234.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.79 / $84.79 / $84.79	Facility		$84.79	$84.79	$84.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.01 / $144.16 / $341.05	Professional		$51.01	$144.16	$341.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $144.22 / $846.65 / $3,491.92	Facility		$144.22	$846.65	$3,491.92
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $1,126.40 / $1,126.40 / $1,126.40	Facility	50	$1,126.40	$1,126.40	$1,126.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $55.94 / $144.22 / $247.91	Professional		$55.94	$144.22	$247.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $164.93 / $232.83	Professional		$133.31	$164.93	$232.83
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,438.00 / $2,029.00	Facility		$464.00	$1,438.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $175.25 / $275.70	Professional		$150.54	$175.25	$275.70