Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $4,897.79 / $4,897.79	Facility		$50.12	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $52.48 / $131.83	Professional		$36.31	$52.48	$131.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	50	$87.10	$87.10	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $36.31 / $48.98	Professional		$33.88	$36.31	$48.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $23.44	Facility		$8.32	$8.32	$23.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $47.86 / $63.10	Professional		$20.89	$47.86	$63.10
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $67.61 / $67.61 / $72.44	Professional	50	$67.61	$67.61	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $51.29 / $102.33	Professional		$28.18	$51.29	$102.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $186.21 / $4,897.79	Facility		$50.12	$186.21	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $57.54 / $100.00	Professional		$37.15	$57.54	$100.00
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	50	$87.10	$87.10	$87.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.65 / $70.79	Professional		$32.36	$43.65	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,000.00 / $1,737.80	Facility		$316.23	$1,000.00	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $60.26 / $87.10	Professional		$41.69	$60.26	$87.10