Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $3,890.45 / $8,709.64	Facility		$501.19	$3,890.45	$8,709.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,754.23 / $4,570.88 / $7,244.36	Facility	50	$2,754.23	$4,570.88	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $275.42 / $891.25	Professional		$134.90	$275.42	$891.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $489.78 / $3,548.13	Professional	50	$169.82	$489.78	$3,548.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $812.83	Professional		$112.20	$158.49	$812.83
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $234.42 / $234.42 / $234.42	Professional	50	$234.42	$234.42	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $229.09	Facility		$144.54	$144.54	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $281.84 / $602.56	Professional		$144.54	$281.84	$602.56
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $371.54 / $426.58 / $891.25	Professional	50	$371.54	$426.58	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $275.42 / $758.58	Professional		$158.49	$275.42	$758.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $3,981.07 / $8,511.38	Facility		$512.86	$3,981.07	$8,511.38
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $2,754.23 / $4,265.80 / $7,244.36	Facility	50	$2,754.23	$4,265.80	$7,244.36
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $416.87 / $776.25	Professional		$151.36	$416.87	$776.25
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $234.42 / $446.68 / $2,041.74	Professional	50	$234.42	$446.68	$2,041.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $363.08 / $758.58	Professional		$165.96	$363.08	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,011.87 / $9,332.54	Facility		$2,511.89	$5,011.87	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $389.05 / $691.83	Professional		$177.83	$389.05	$691.83