Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.86 / $2,690.16 / $10,966.24	Facility		$508.86	$2,690.16	$10,966.24
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,874.00 / $14,448.50 / $29,484.00	Facility	50	$5,874.00	$14,448.50	$29,484.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $467.85 / $927.30 / $1,492.92	Professional	50	$467.85	$927.30	$1,492.92
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $300.93 / $521.85 / $782.42	Professional	50	$300.93	$521.85	$782.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,087.65 / $17,204.98 / $40,386.51	Facility		$8,087.65	$17,204.98	$40,386.51
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $5,724.83 / $13,006.72 / $15,807.38	Facility	50	$5,724.83	$13,006.72	$15,807.38
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $881.99 / $881.99 / $881.99	Professional	50	$881.99	$881.99	$881.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $340.30 / $413.06 / $544.48	Facility		$340.30	$413.06	$544.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.15 / $626.15 / $626.15	Facility		$626.15	$626.15	$626.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $508.86 / $4,112.00 / $13,150.57	Facility		$508.86	$4,112.00	$13,150.57
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $7,695.99 / $21,041.75 / $29,484.00	Facility	50	$7,695.99	$21,041.75	$29,484.00
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $467.85 / $932.25 / $2,132.46	Professional	50	$467.85	$932.25	$2,132.46
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