Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,339.28 / $4,112.00 / $8,178.67	Facility		$1,339.28	$4,112.00	$8,178.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.07 / $990.02 / $1,664.56	Professional		$762.07	$990.02	$1,664.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,241.33 / $1,241.33 / $6,841.86	Professional	50	$1,241.33	$1,241.33	$6,841.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $500.35 / $1,000.71 / $1,918.46	Professional		$500.35	$1,000.71	$1,918.46
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $2,877.70 / $2,877.70 / $2,877.70	Professional	50	$2,877.70	$2,877.70	$2,877.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,721.95 / $6,669.13 / $9,035.61	Facility		$5,721.95	$6,669.13	$9,035.61
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,066.05 / $4,517.81 / $6,126.39	Facility	50	$3,066.05	$4,517.81	$6,126.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.54 / $1,444.32 / $2,166.48	Professional		$245.54	$1,444.32	$2,166.48
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $2,439.05 / $2,439.05 / $2,439.05	Professional	50	$2,439.05	$2,439.05	$2,439.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $725.86 / $992.79 / $1,914.73	Professional		$725.86	$992.79	$1,914.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $953.12 / $4,112.00 / $8,072.14	Facility		$953.12	$4,112.00	$8,072.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $899.44 / $1,109.71 / $1,607.13	Professional		$899.44	$1,109.71	$1,607.13
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $1,241.33 / $4,172.85 / $4,172.85	Professional	50	$1,241.33	$4,172.85	$4,172.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.73 / $720.95 / $1,118.70	Professional		$102.73	$720.95	$1,118.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,748.88 / $6,978.00 / $10,614.92	Facility		$2,748.88	$6,978.00	$10,614.92
United Facility/Professional Professional Modifier Low / Median / High Price $934.41 / $1,132.91 / $1,567.62	Professional		$934.41	$1,132.91	$1,567.62