Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,202.26 / $3,090.30	Facility		$371.54	$1,202.26	$3,090.30
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility	50	$1,659.59	$1,659.59	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $234.42 / $741.31	Professional		$107.15	$234.42	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $173.78	Professional		$89.13	$112.20	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $158.49 / $158.49	Facility		$26.92	$158.49	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $489.78	Professional		$165.96	$239.88	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $218.78 / $891.25	Professional		$112.20	$218.78	$891.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,148.15 / $3,090.30	Facility		$371.54	$1,148.15	$3,090.30
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility	50	$1,659.59	$1,659.59	$1,659.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $346.74 / $812.83	Professional		$114.82	$346.74	$812.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $281.84 / $794.33	Professional		$128.82	$281.84	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,778.28 / $4,073.80	Facility		$489.78	$1,778.28	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $281.84 / $831.76	Professional		$128.82	$281.84	$831.76