Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $177.83 / $4,897.79	Facility		$38.02	$177.83	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $45.71 / $151.36	Professional		$28.84	$45.71	$151.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $30.20 / $30.20 / $30.20	Professional	50	$30.20	$30.20	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.84 / $36.31	Professional		$25.12	$28.84	$36.31
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $36.31 / $36.31 / $36.31	Professional	50	$36.31	$36.31	$36.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.51 / $64.57	Facility		$8.51	$8.51	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $45.71 / $64.57	Professional		$8.51	$45.71	$64.57
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $67.61 / $69.18 / $85.11	Professional	50	$67.61	$69.18	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $43.65 / $83.18	Professional		$26.92	$43.65	$83.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $173.78 / $4,897.79	Facility		$40.74	$173.78	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $48.98 / $89.13	Professional		$30.20	$48.98	$89.13
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $30.20 / $30.20 / $30.20	Professional	50	$30.20	$30.20	$30.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $37.15 / $56.23	Professional		$26.92	$37.15	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $831.76 / $1,737.80	Facility		$100.00	$831.76	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $72.44	Professional		$33.11	$50.12	$72.44