Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $1,174.90 / $4,897.79	Facility		$33.11	$1,174.90	$4,897.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	50	$977.24	$977.24	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $75.86 / $363.08	Professional		$23.99	$75.86	$363.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $208.93 / $208.93	Professional	50	$208.93	$208.93	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $36.31 / $36.31	Facility		$6.17	$36.31	$36.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $69.18 / $72.44	Professional		$22.91	$69.18	$72.44
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $107.15 / $107.15	Professional	50	$77.62	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $93.33 / $208.93	Professional		$23.99	$93.33	$208.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $977.24 / $4,897.79	Facility		$33.11	$977.24	$4,897.79
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	50	$977.24	$977.24	$977.24
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $79.43 / $288.40	Professional		$28.84	$79.43	$288.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $46.77 / $208.93	Professional		$22.91	$46.77	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,778.28 / $4,073.80	Facility		$691.83	$1,778.28	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $104.71 / $269.15	Professional		$27.54	$104.71	$269.15