Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $2,884.03 / $4,897.79	Facility		$363.08	$2,884.03	$4,897.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,128.61 / $5,623.41 / $6,918.31	Facility	50	$5,128.61	$5,623.41	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $275.42 / $478.63	Professional		$144.54	$275.42	$478.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $741.31 / $1,548.82 / $2,398.83	Professional	50	$741.31	$1,548.82	$2,398.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $223.87 / $223.87	Facility		$44.67	$223.87	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $44.67 / $223.87	Professional		$42.66	$44.67	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $436.52	Professional		$151.36	$263.03	$436.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $2,884.03 / $4,897.79	Facility		$363.08	$2,884.03	$4,897.79
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $5,128.61 / $5,623.41 / $6,918.31	Facility	50	$5,128.61	$5,623.41	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $288.40 / $501.19	Professional		$154.88	$288.40	$501.19
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $741.31 / $741.31 / $1,548.82	Professional	50	$741.31	$741.31	$1,548.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $436.52	Professional		$169.82	$263.03	$436.52
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 $165.96 / $269.15 / $407.38	Professional		$165.96	$269.15	$407.38