Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.25 / $126.43 / $2,182.92	Facility		$77.25	$126.43	$2,182.92
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $322.06 / $322.06 / $2,404.82	Facility	50	$322.06	$322.06	$2,404.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $116.31 / $165.01	Professional		$58.40	$116.31	$165.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $228.00 / $228.00 / $228.00	Professional	50	$228.00	$228.00	$228.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $80.42 / $80.42	Professional		$80.42	$80.42	$80.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $920.75 / $1,080.69 / $1,464.17	Facility		$920.75	$1,080.69	$1,464.17
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $496.84 / $677.93 / $954.77	Facility	50	$496.84	$677.93	$954.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $83.27 / $146.22	Professional		$16.64	$83.27	$146.22
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $140.61 / $140.61 / $235.68	Professional	50	$140.61	$140.61	$235.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $94.12 / $203.79	Professional		$54.98	$94.12	$203.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $77.25 / $915.08 / $4,933.00	Facility		$77.25	$915.08	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $322.06 / $322.06 / $2,404.82	Facility	50	$322.06	$322.06	$2,404.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $72.14 / $124.11 / $177.38	Professional		$72.14	$124.11	$177.38
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $228.00 / $228.00 / $228.00	Professional	50	$228.00	$228.00	$228.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $101.78 / $144.21	Professional		$81.79	$101.78	$144.21
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.66 / $143.91 / $204.74	Professional		$107.66	$143.91	$204.74