Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $316.23 / $4,897.79	Facility		$104.71	$316.23	$4,897.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $645.65 / $645.65 / $645.65	Facility	50	$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $194.98 / $436.52	Professional		$75.86	$194.98	$436.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $398.11 / $407.38	Professional	50	$288.40	$398.11	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $194.98 / $436.52	Professional		$31.62	$194.98	$436.52
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $112.20 / $112.20	Professional	50	$112.20	$112.20	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $380.19	Professional		$104.71	$173.78	$380.19
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $186.21 / $186.21 / $575.44	Professional	50	$186.21	$186.21	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $204.17 / $331.13	Professional		$77.62	$204.17	$331.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $331.13 / $4,897.79	Facility		$109.65	$331.13	$4,897.79
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $645.65 / $645.65 / $645.65	Facility	50	$645.65	$645.65	$645.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $234.42 / $426.58	Professional		$79.43	$234.42	$426.58
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $398.11 / $407.38	Professional	50	$302.00	$398.11	$407.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $204.17 / $295.12	Professional		$89.13	$204.17	$295.12
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 $89.13 / $173.78 / $316.23	Professional		$89.13	$173.78	$316.23