Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $87.89 / $4,933.00	Facility		$61.44	$87.89	$4,933.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,309.32 / $5,309.32 / $5,309.32	Facility	50	$5,309.32	$5,309.32	$5,309.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $74.69 / $110.64	Professional		$51.31	$74.69	$110.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $108.51 / $225.04 / $225.04	Professional	50	$108.51	$225.04	$225.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $62.01 / $87.47	Professional		$62.01	$62.01	$87.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.99 / $448.72 / $607.94	Facility		$384.99	$448.72	$607.94
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $207.42 / $351.86 / $412.20	Facility	50	$207.42	$351.86	$412.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $48.12 / $103.83	Professional		$11.77	$48.12	$103.83
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $111.05 / $111.05 / $121.44	Professional	50	$111.05	$111.05	$121.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.55 / $73.17 / $100.68	Professional		$44.55	$73.17	$100.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $64.84 / $100.48 / $4,933.00	Facility		$64.84	$100.48	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $5,309.32 / $5,309.32 / $5,309.32	Facility	50	$5,309.32	$5,309.32	$5,309.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $55.96 / $75.62 / $131.01	Professional		$55.96	$75.62	$131.01
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $108.51 / $225.04 / $225.04	Professional	50	$108.51	$225.04	$225.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.45 / $67.94 / $92.00	Professional		$55.45	$67.94	$92.00
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,386.00 / $2,449.00	Facility		$300.00	$1,386.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.59 / $95.59 / $141.30	Professional		$59.59	$95.59	$141.30