Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $2,238.72 / $4,897.79	Facility		$251.19	$2,238.72	$4,897.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,584.89 / $3,467.37 / $7,079.46	Facility	50	$1,584.89	$3,467.37	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $316.23 / $602.56	Professional		$173.78	$316.23	$602.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $66.07 / $426.58 / $2,511.89	Professional	50	$66.07	$426.58	$2,511.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $169.82 / $281.84	Professional	50	$109.65	$169.82	$281.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $281.84 / $398.11	Professional		$64.57	$281.84	$398.11
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $426.58 / $426.58 / $707.95	Professional	50	$426.58	$426.58	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $323.59 / $549.54	Professional		$181.97	$323.59	$549.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,905.46 / $4,897.79	Facility		$239.88	$1,905.46	$4,897.79
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $1,548.82 / $3,311.31 / $8,511.38	Facility	50	$1,548.82	$3,311.31	$8,511.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $380.19 / $645.65	Professional		$208.93	$380.19	$645.65
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $501.19 / $1,819.70	Professional	50	$81.28	$501.19	$1,819.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $549.54	Professional		$194.98	$323.59	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,011.87 / $8,912.51	Facility		$2,511.89	$5,011.87	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $416.87 / $588.84	Professional		$218.78	$416.87	$588.84