Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $2,041.74 / $7,244.36	Facility		$165.96	$2,041.74	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,890.45 / $6,760.83 / $9,772.37	Facility	50	$3,890.45	$6,760.83	$9,772.37
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $457.09 / $1,023.29	Professional	50	$162.18	$457.09	$1,023.29
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $134.90 / $144.54 / $218.78	Professional	50	$134.90	$144.54	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $380.19 / $380.19 / $380.19	Professional	50	$380.19	$380.19	$380.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $134.90 / $162.18	Facility		$83.18	$134.90	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $977.24 / $7,244.36	Facility		$165.96	$977.24	$7,244.36
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $3,890.45 / $6,760.83 / $9,772.37	Facility	50	$3,890.45	$6,760.83	$9,772.37
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $562.34 / $977.24	Professional	50	$162.18	$562.34	$977.24
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,258.93 / $2,041.74	Facility		$302.00	$1,258.93	$2,041.74