Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $2,041.74 / $4,897.79	Facility		$75.86	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $1,174.90 / $2,137.96	Professional		$52.48	$1,174.90	$2,137.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Professional	50	$6,025.60	$6,025.60	$6,025.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $64.57	Facility		$12.88	$12.88	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $1,995.26	Professional		$61.66	$97.72	$1,995.26
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $104.71 / $104.71 / $3,019.95	Professional	50	$104.71	$104.71	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $933.25 / $2,454.71	Professional		$41.69	$933.25	$2,454.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,041.74 / $4,897.79	Facility		$1,318.26	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $1,318.26 / $2,089.30	Professional		$63.10	$1,318.26	$2,089.30
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Professional	50	$6,025.60	$6,025.60	$6,025.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $870.96 / $1,584.89	Professional		$46.77	$870.96	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,818.38 / $5,623.41	Facility		$758.58	$2,818.38	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $1,122.02 / $1,819.70	Professional		$56.23	$1,122.02	$1,819.70