Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $1,778.28 / $4,897.79	Facility		$102.33	$1,778.28	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $120.23 / $354.81	Professional		$57.54	$120.23	$354.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $630.96 / $630.96	Professional	50	$144.54	$630.96	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $112.20 / $131.83	Professional		$52.48	$112.20	$131.83
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $204.17 / $204.17 / $204.17	Professional	50	$204.17	$204.17	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $181.97	Professional		$57.54	$97.72	$181.97
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $194.98 / $263.03 / $426.58	Professional	50	$194.98	$263.03	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $107.15 / $194.98	Professional		$57.54	$107.15	$194.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $1,318.26 / $4,897.79	Facility		$134.90	$1,318.26	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $138.04 / $229.09	Professional		$60.26	$138.04	$229.09
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $630.96 / $630.96	Professional	50	$144.54	$630.96	$630.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $97.72 / $194.98	Professional		$50.12	$97.72	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,258.93 / $2,041.74	Facility		$467.74	$1,258.93	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $114.82 / $181.97	Professional		$66.07	$114.82	$181.97