Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.16 / $868.92 / $4,933.00	Facility		$676.16	$868.92	$4,933.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,285.79 / $2,285.79 / $4,698.00	Facility	50	$2,285.79	$2,285.79	$4,698.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.76 / $652.02 / $868.93	Professional		$470.76	$652.02	$868.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $405.48 / $405.48 / $414.06	Professional	50	$405.48	$405.48	$414.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,111.76 / $1,111.76 / $1,111.76	Professional		$1,111.76	$1,111.76	$1,111.76
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $1,667.63 / $1,667.63 / $1,667.63	Professional	50	$1,667.63	$1,667.63	$1,667.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,253.66 / $2,626.71 / $3,558.78	Facility		$2,253.66	$2,626.71	$3,558.78
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,509.50 / $1,830.16 / $2,320.63	Facility	50	$1,509.50	$1,830.16	$2,320.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.41 / $711.99 / $1,180.40	Professional		$127.41	$711.99	$1,180.40
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,202.33 / $1,545.08 / $1,545.08	Professional	50	$1,202.33	$1,545.08	$1,545.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.05 / $596.91 / $910.83	Professional		$429.05	$596.91	$910.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $647.64 / $851.97 / $4,933.00	Facility		$647.64	$851.97	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $2,285.79 / $4,698.00 / $9,631.86	Facility	50	$2,285.79	$4,698.00	$9,631.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $589.19 / $677.56 / $1,005.47	Professional		$589.19	$677.56	$1,005.47
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $405.48 / $405.48 / $414.06	Professional	50	$405.48	$405.48	$414.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.99 / $420.50 / $718.86	Professional		$67.99	$420.50	$718.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,700.61 / $5,311.15 / $8,339.00	Facility		$1,700.61	$5,311.15	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $586.38 / $730.22 / $1,021.27	Professional		$586.38	$730.22	$1,021.27