Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $912.01 / $4,897.79	Facility		$79.43	$912.01	$4,897.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $323.59 / $323.59 / $2,398.83	Facility	50	$323.59	$323.59	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $102.33 / $251.19	Professional		$56.23	$102.33	$251.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $229.09 / $371.54 / $416.87	Professional	50	$229.09	$371.54	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $87.10 / $87.10	Facility		$54.95	$87.10	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $93.33 / $158.49	Professional		$17.38	$93.33	$158.49
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $234.42 / $295.12	Professional	50	$141.25	$234.42	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $95.50 / $204.17	Professional		$56.23	$95.50	$204.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $812.83 / $4,897.79	Facility		$79.43	$812.83	$4,897.79
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $323.59 / $323.59 / $2,398.83	Facility	50	$323.59	$323.59	$2,398.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $123.03 / $229.09	Professional		$64.57	$123.03	$229.09
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $229.09 / $229.09 / $229.09	Professional	50	$229.09	$229.09	$229.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $93.33 / $169.82	Professional		$52.48	$93.33	$169.82
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 $64.57 / $97.72 / $186.21	Professional		$64.57	$97.72	$186.21