Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $2,041.74 / $4,897.79	Facility		$194.98	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $257.04 / $501.19	Professional		$109.65	$257.04	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $263.03 / $436.52	Professional		$109.65	$263.03	$436.52
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $281.84 / $281.84 / $660.69	Professional	50	$281.84	$281.84	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $208.93 / $537.03	Professional		$91.20	$208.93	$537.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $2,041.74 / $4,897.79	Facility		$275.42	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $281.84 / $457.09	Professional		$117.49	$281.84	$457.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $199.53 / $316.23	Professional		$89.13	$199.53	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $891.25 / $1,737.80	Facility		$234.42	$891.25	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $245.47 / $363.08	Professional		$117.49	$245.47	$363.08