Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.07 / $4,933.00 / $19,655.71	Facility		$419.07	$4,933.00	$19,655.71
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,998.04 / $9,998.04 / $9,998.04	Facility	50	$9,998.04	$9,998.04	$9,998.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.87 / $855.12 / $4,651.84	Professional		$299.87	$855.12	$4,651.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $502.36 / $502.36 / $866.57	Professional	50	$502.36	$502.36	$866.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.84 / $158.84 / $3,124.31	Professional		$158.84	$158.84	$3,124.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,868.18 / $23,175.59 / $32,606.34	Facility		$19,868.18	$23,175.59	$32,606.34
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $10,659.34 / $16,066.99 / $21,183.29	Facility	50	$10,659.34	$16,066.99	$21,183.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.02 / $279.49 / $497.40	Professional		$76.02	$279.49	$497.40
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $478.27 / $550.01 / $5,165.14	Professional	50	$478.27	$550.01	$5,165.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.85 / $611.09 / $5,941.56	Professional		$289.85	$611.09	$5,941.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,991.75 / $4,531.43 / $18,584.25	Facility		$3,991.75	$4,531.43	$18,584.25
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $9,998.04 / $9,998.04 / $9,998.04	Facility	50	$9,998.04	$9,998.04	$9,998.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $404.12 / $3,991.75 / $5,279.14	Professional		$404.12	$3,991.75	$5,279.14
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $502.36 / $502.36 / $866.57	Professional	50	$502.36	$502.36	$866.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,652.56 / $3,287.86 / $4,792.82	Professional		$2,652.56	$3,287.86	$4,792.82
United Facility/Professional Facility Modifier Low / Median / High Price $7,133.00 / $11,464.00 / $15,011.00	Facility		$7,133.00	$11,464.00	$15,011.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,683.77 / $5,198.41 / $6,529.12	Professional		$3,683.77	$5,198.41	$6,529.12