Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.25 / $2,168.94 / $4,933.00	Facility		$452.25	$2,168.94	$4,933.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,174.05 / $9,809.18 / $13,774.49	Facility	50	$7,174.05	$9,809.18	$13,774.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.25 / $993.34 / $2,168.94	Professional		$285.25	$993.34	$2,168.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $364.29 / $913.48 / $2,546.46	Professional	50	$364.29	$913.48	$2,546.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $231.23 / $355.74 / $355.74	Professional		$231.23	$355.74	$355.74
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $333.51 / $656.73 / $693.69	Professional	50	$333.51	$656.73	$693.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,388.86 / $13,713.87 / $33,546.31	Facility		$6,388.86	$13,713.87	$33,546.31
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,599.21 / $6,460.74 / $11,021.42	Facility	50	$4,599.21	$6,460.74	$11,021.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.22 / $489.52 / $881.14	Professional		$83.22	$489.52	$881.14
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $785.33 / $785.33 / $3,955.35	Professional	50	$785.33	$785.33	$3,955.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.72 / $558.72 / $558.72	Facility		$558.72	$558.72	$558.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.51 / $1,257.46 / $3,315.20	Professional		$328.51	$1,257.46	$3,315.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $452.25 / $2,207.98 / $4,933.00	Facility		$452.25	$2,207.98	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $3,169.37 / $9,352.23 / $13,774.49	Facility	50	$3,169.37	$9,352.23	$13,774.49
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $317.16 / $1,545.68 / $2,331.17	Professional		$317.16	$1,545.68	$2,331.17
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $364.29 / $608.98 / $2,546.46	Professional	50	$364.29	$608.98	$2,546.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,323.14 / $1,657.67 / $2,328.31	Professional		$1,323.14	$1,657.67	$2,328.31
United Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $10,192.00 / $12,767.00	Facility		$5,000.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,646.77 / $2,075.11 / $2,926.83	Professional		$1,646.77	$2,075.11	$2,926.83