Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.36 / $2,273.76 / $8,361.00	Facility		$590.36	$2,273.76	$8,361.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,015.06 / $6,015.06 / $23,508.50	Facility	50	$6,015.06	$6,015.06	$23,508.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.12 / $1,233.98 / $2,526.71	Professional		$418.12	$1,233.98	$2,526.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $306.73 / $306.73 / $306.73	Professional		$306.73	$306.73	$306.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,981.20 / $6,976.87 / $9,815.95	Facility		$5,981.20	$6,976.87	$9,815.95
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,738.25 / $4,836.87 / $6,133.14	Facility	50	$3,738.25	$4,836.87	$6,133.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.83 / $659.87 / $1,048.54	Professional		$106.83	$659.87	$1,048.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.56 / $859.49 / $3,577.26	Professional		$448.56	$859.49	$3,577.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $590.36 / $4,933.00 / $8,361.00	Facility		$590.36	$4,933.00	$8,361.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $6,015.06 / $6,015.06 / $23,508.50	Facility	50	$6,015.06	$6,015.06	$23,508.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $525.64 / $2,194.80 / $3,088.66	Professional		$525.64	$2,194.80	$3,088.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,342.07 / $1,667.61 / $2,456.52	Professional		$1,342.07	$1,667.61	$2,456.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $9,143.00 / $14,705.00	Facility		$4,635.00	$9,143.00	$14,705.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,090.88 / $2,884.50 / $4,689.37	Professional		$2,090.88	$2,884.50	$4,689.37