Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $204.17 / $2,041.74	Facility		$79.43	$204.17	$2,041.74
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $213.80 / $251.19 / $371.54	Facility	50	$213.80	$251.19	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $141.25 / $316.23	Professional		$54.95	$141.25	$316.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $512.86 / $812.83	Professional	50	$169.82	$512.86	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $125.89 / $199.53	Professional		$35.48	$125.89	$199.53
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $251.19 / $251.19	Professional	50	$251.19	$251.19	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $52.48 / $85.11	Facility		$14.45	$52.48	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $89.13 / $251.19	Professional		$52.48	$89.13	$251.19
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $134.90 / $134.90 / $371.54	Professional	50	$134.90	$134.90	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $107.15 / $234.42	Professional		$56.23	$107.15	$234.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $229.09 / $2,041.74	Facility		$77.62	$229.09	$2,041.74
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $213.80 / $251.19 / $977.24	Facility	50	$213.80	$251.19	$977.24
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $131.83 / $275.42	Professional		$57.54	$131.83	$275.42
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $288.40 / $562.34	Professional	50	$169.82	$288.40	$562.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $107.15 / $234.42	Professional		$66.07	$107.15	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $831.76 / $1,862.09	Facility		$100.00	$831.76	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $190.55	Professional		$64.57	$104.71	$190.55