Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $4,897.79 / $4,897.79	Facility		$338.84	$4,897.79	$4,897.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,187.76 / $2,187.76 / $7,079.46	Facility	50	$2,187.76	$2,187.76	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $2,691.53 / $5,011.87	Professional		$251.19	$2,691.53	$5,011.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $5,623.41 / $9,120.11 / $14,791.08	Professional	50	$5,623.41	$9,120.11	$14,791.08
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $3,890.45 / $6,165.95	Professional	50	$158.49	$3,890.45	$6,165.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $575.44	Facility		$380.19	$380.19	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $575.44 / $602.56	Professional		$91.20	$575.44	$602.56
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $616.60 / $616.60 / $7,079.46	Professional	50	$616.60	$616.60	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $2,137.96 / $5,128.61	Professional		$257.04	$2,137.96	$5,128.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,897.79 / $10,715.19	Facility		$3,890.45	$4,897.79	$10,715.19
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $2,187.76 / $2,187.76 / $7,079.46	Facility	50	$2,187.76	$2,187.76	$7,079.46
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $3,715.35 / $5,370.32	Professional		$251.19	$3,715.35	$5,370.32
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $5,623.41 / $9,120.11 / $14,791.08	Professional	50	$5,623.41	$9,120.11	$14,791.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $794.33 / $4,786.30	Professional		$295.12	$794.33	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $6,918.31 / $15,135.61	Facility		$4,677.35	$6,918.31	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $3,162.28 / $5,370.32	Professional		$288.40	$3,162.28	$5,370.32