Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $2,884.03 / $4,897.79	Facility		$323.59	$2,884.03	$4,897.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility	50	$4,466.84	$4,466.84	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $741.31 / $1,659.59	Professional		$199.53	$741.31	$1,659.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $186.21 / $380.19	Professional		$23.44	$186.21	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $446.68	Facility		$302.00	$302.00	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $446.68	Professional		$302.00	$426.58	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $616.60 / $1,479.11	Professional		$208.93	$616.60	$1,479.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,691.53 / $4,897.79	Facility		$870.96	$2,691.53	$4,897.79
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility	50	$4,466.84	$4,466.84	$4,466.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $870.96 / $1,412.54	Professional		$218.78	$870.96	$1,412.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $812.83 / $1,348.96	Professional		$239.88	$812.83	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,365.16 / $7,244.36	Facility		$1,621.81	$4,365.16	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $724.44 / $1,258.93	Professional		$245.47	$724.44	$1,258.93