Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.79 / $2,850.00 / $4,933.00	Facility		$248.79	$2,850.00	$4,933.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,873.06 / $6,873.06 / $6,873.06	Facility	50	$6,873.06	$6,873.06	$6,873.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.36 / $357.68 / $1,104.81	Professional		$163.36	$357.68	$1,104.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.05 / $117.05 / $117.05	Professional		$117.05	$117.05	$117.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,778.51 / $5,569.52 / $7,545.81	Facility		$4,778.51	$5,569.52	$7,545.81
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,560.52 / $3,493.83 / $5,116.26	Facility	50	$2,560.52	$3,493.83	$5,116.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $273.76 / $518.33	Professional		$48.40	$273.76	$518.33
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $410.64 / $410.64 / $1,906.98	Professional	50	$410.64	$410.64	$1,906.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.56 / $297.42 / $1,390.12	Professional		$164.56	$297.42	$1,390.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $891.88 / $2,056.00 / $4,933.00	Facility		$891.88	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $6,873.06 / $6,873.06 / $6,873.06	Facility	50	$6,873.06	$6,873.06	$6,873.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $196.35 / $891.88 / $1,263.70	Professional		$196.35	$891.88	$1,263.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $684.51 / $848.04 / $1,252.52	Professional		$684.51	$848.04	$1,252.52
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $902.17 / $1,143.96 / $1,447.06	Professional		$902.17	$1,143.96	$1,447.06