Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $2,041.74 / $4,897.79	Facility		$75.86	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $89.13 / $229.09	Professional		$52.48	$89.13	$229.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.26 / $323.59 / $354.81	Professional	50	$60.26	$323.59	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $93.33	Professional		$72.44	$72.44	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $123.03 / $123.03	Facility		$83.18	$123.03	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $120.23 / $138.04	Professional		$51.29	$120.23	$138.04
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $131.83 / $204.17 / $204.17	Professional	50	$131.83	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $93.33 / $186.21	Professional		$56.23	$93.33	$186.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $724.44 / $4,897.79	Facility		$93.33	$724.44	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $114.82 / $213.80	Professional		$63.10	$114.82	$213.80
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $60.26 / $229.09 / $323.59	Professional	50	$60.26	$229.09	$323.59
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $83.18 / $154.88	Professional		$48.98	$83.18	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,778.28 / $4,073.80	Facility		$537.03	$1,778.28	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $95.50 / $173.78	Professional		$61.66	$95.50	$173.78