Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.85 / $2,056.00 / $4,933.00	Facility		$51.85	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $113.34 / $156.49	Professional		$48.11	$113.34	$156.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.55 / $114.55 / $114.55	Professional		$114.55	$114.55	$114.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.93 / $207.38 / $280.97	Facility		$177.93	$207.38	$280.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $46.56 / $74.69	Professional		$7.61	$46.56	$74.69
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $71.81 / $82.59 / $217.98	Professional	50	$71.81	$82.59	$217.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $99.13 / $216.11	Professional		$39.89	$99.13	$216.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $148.54 / $2,056.00 / $4,933.00	Facility		$148.54	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $51.85 / $148.53 / $195.21	Professional		$51.85	$148.53	$195.21
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $299.94 / $299.94 / $299.94	Professional	50	$299.94	$299.94	$299.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.97 / $136.65 / $196.03	Professional		$109.97	$136.65	$196.03
United Facility/Professional Facility Modifier Low / Median / High Price $313.16 / $1,386.00 / $2,029.00	Facility		$313.16	$1,386.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.09 / $178.89 / $234.27	Professional		$127.09	$178.89	$234.27