Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.25 / $997.61 / $4,933.00	Facility		$203.25	$997.61	$4,933.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,089.68 / $3,089.68 / $3,089.68	Facility	50	$3,089.68	$3,089.68	$3,089.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.03 / $228.37 / $383.61	Professional		$138.03	$228.37	$383.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $377.10 / $377.10 / $377.10	Professional	50	$377.10	$377.10	$377.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.94 / $265.83 / $477.07	Professional		$76.94	$265.83	$477.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $340.73 / $395.47 / $535.79	Facility		$340.73	$395.47	$535.79
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $194.05 / $279.08 / $344.43	Facility	50	$194.05	$279.08	$344.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $220.92 / $388.00	Professional		$37.54	$220.92	$388.00
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $373.08 / $373.08 / $653.51	Professional	50	$373.08	$373.08	$653.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.33 / $210.74 / $418.50	Professional		$132.33	$210.74	$418.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $214.56 / $998.19 / $4,933.00	Facility		$214.56	$998.19	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $3,089.68 / $3,089.68 / $3,089.68	Facility	50	$3,089.68	$3,089.68	$3,089.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $165.61 / $271.04 / $431.93	Professional		$165.61	$271.04	$431.93
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $377.10 / $377.10 / $377.10	Professional	50	$377.10	$377.10	$377.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $224.35 / $324.45	Professional		$30.79	$224.35	$324.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,006.00 / $3,362.00 / $6,327.00	Facility		$1,006.00	$3,362.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $278.62 / $325.18 / $433.29	Professional		$278.62	$325.18	$433.29