Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $5,754.40 / $9,120.11	Facility		$1,380.38	$5,754.40	$9,120.11
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility	50	$5,370.32	$5,370.32	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $2,454.71	Professional		$758.58	$1,096.48	$2,454.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $2,187.76	Facility		$1,445.44	$1,445.44	$2,187.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $1,548.82 / $2,187.76	Professional		$245.47	$1,548.82	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,000.00 / $2,089.30	Professional		$660.69	$1,000.00	$2,089.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,897.79 / $7,244.36	Facility		$1,380.38	$4,897.79	$7,244.36
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility	50	$5,370.32	$5,370.32	$5,370.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,584.89	Professional		$831.76	$1,023.29	$1,584.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,071.52	Professional		$645.65	$870.96	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,365.16 / $7,413.10	Facility		$1,819.70	$4,365.16	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,348.96	Professional		$870.96	$1,023.29	$1,348.96