Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $4,073.80 / $5,370.32	Facility		$363.08	$4,073.80	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $501.19 / $1,288.25	Professional		$295.12	$501.19	$1,288.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $245.47 / $575.44 / $1,862.09	Professional	50	$245.47	$575.44	$1,862.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $407.38	Professional		$151.36	$181.97	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $588.84	Facility		$67.61	$67.61	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $660.69	Professional		$398.11	$489.78	$660.69
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $630.96 / $724.44 / $977.24	Professional	50	$630.96	$724.44	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $537.03 / $758.58	Professional		$302.00	$537.03	$758.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $4,073.80 / $5,754.40	Facility		$363.08	$4,073.80	$5,754.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $588.84 / $1,096.48	Professional		$363.08	$588.84	$1,096.48
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $245.47 / $575.44 / $2,137.96	Professional	50	$245.47	$575.44	$2,137.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $501.19 / $707.95	Professional		$281.84	$501.19	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,754.40 / $9,120.11	Facility		$2,454.71	$5,754.40	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $602.56 / $933.25	Professional		$346.74	$602.56	$933.25