Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $1,659.59 / $4,897.79	Facility		$107.15	$1,659.59	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $177.83 / $446.68	Professional		$75.86	$177.83	$446.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $229.09 / $1,096.48 / $1,096.48	Professional	50	$229.09	$1,096.48	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $407.38	Professional		$245.47	$245.47	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $134.90 / $218.78	Professional		$79.43	$134.90	$218.78
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $204.17 / $537.03 / $537.03	Professional	50	$204.17	$537.03	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $165.96 / $331.13	Professional		$77.62	$165.96	$331.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $1,445.44 / $4,897.79	Facility		$109.65	$1,445.44	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $213.80 / $363.08	Professional		$81.28	$213.80	$363.08
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $229.09 / $229.09 / $1,096.48	Professional	50	$229.09	$229.09	$1,096.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $147.91 / $331.13	Professional		$69.18	$147.91	$331.13
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 $85.11 / $173.78 / $275.42	Professional		$85.11	$173.78	$275.42