Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.09 / $4,112.00 / $6,594.17	Facility		$440.09	$4,112.00	$6,594.17
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,659.42 / $7,659.42 / $7,659.42	Facility	50	$7,659.42	$7,659.42	$7,659.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.08 / $598.11 / $784.74	Professional		$440.08	$598.11	$784.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $500.75 / $500.75 / $500.75	Professional		$500.75	$500.75	$500.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $649.61 / $757.14 / $1,025.81	Facility		$649.61	$757.14	$1,025.81
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $349.99 / $512.91 / $695.53	Facility	50	$349.99	$512.91	$695.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.29 / $489.01 / $776.53	Professional		$87.29	$489.01	$776.53
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $784.52 / $902.20 / $1,164.80	Professional	50	$784.52	$902.20	$1,164.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.59 / $632.02 / $889.79	Professional		$345.59	$632.02	$889.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $464.60 / $4,112.00 / $5,756.00	Facility		$464.60	$4,112.00	$5,756.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $7,659.42 / $7,659.42 / $7,659.42	Facility	50	$7,659.42	$7,659.42	$7,659.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $453.67 / $680.03 / $1,021.94	Professional		$453.67	$680.03	$1,021.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.88 / $395.19 / $594.24	Professional		$62.88	$395.19	$594.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,780.00 / $10,556.00	Facility		$3,296.00	$7,780.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $604.32 / $755.24 / $1,182.10	Professional		$604.32	$755.24	$1,182.10