Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $2,884.03 / $7,762.47	Facility		$269.15	$2,884.03	$7,762.47
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,570.40 / $2,754.23 / $6,165.95	Facility	50	$2,570.40	$2,754.23	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $281.84 / $588.84	Professional		$158.49	$281.84	$588.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $407.38 / $741.31 / $1,819.70	Professional	50	$407.38	$741.31	$1,819.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $251.19 / $346.74	Professional		$218.78	$251.19	$346.74
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $331.13 / $371.54 / $478.63	Professional	50	$331.13	$371.54	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $117.49 / $257.04	Facility		$38.02	$117.49	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $234.42 / $302.00	Professional		$38.02	$234.42	$302.00
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $346.74 / $501.19	Professional	50	$302.00	$346.74	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $398.11	Professional		$162.18	$251.19	$398.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $2,884.03 / $6,918.31	Facility		$323.59	$2,884.03	$6,918.31
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $2,570.40 / $2,754.23 / $6,165.95	Facility	50	$2,570.40	$2,754.23	$6,165.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $323.59 / $524.81	Professional		$177.83	$323.59	$524.81
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $407.38 / $645.65 / $1,584.89	Professional	50	$407.38	$645.65	$1,584.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $398.11	Professional		$186.21	$275.42	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,090.30 / $6,025.60	Facility		$1,348.96	$3,090.30	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $281.84 / $416.87	Professional		$181.97	$281.84	$416.87