Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,137.96 / $7,244.36	Facility		$812.83	$2,137.96	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility	50	$5,128.61	$5,128.61	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $1,621.81	Professional		$549.54	$758.58	$1,621.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $741.31 / $977.24 / $3,090.30	Professional	50	$741.31	$977.24	$3,090.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $537.03	Professional		$478.63	$478.63	$537.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $891.25 / $891.25	Facility		$549.54	$891.25	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,258.93 / $1,318.26	Professional		$575.44	$1,258.93	$1,318.26
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,412.54 / $1,412.54 / $1,737.80	Professional	50	$1,412.54	$1,412.54	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $1,584.89	Professional		$467.74	$707.95	$1,584.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,137.96 / $6,918.31	Facility		$794.33	$2,137.96	$6,918.31
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $5,128.61 / $5,128.61 / $6,456.54	Facility	50	$5,128.61	$5,128.61	$6,456.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,318.26	Professional		$602.56	$831.76	$1,318.26
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $794.33 / $977.24 / $1,445.44	Professional	50	$794.33	$977.24	$1,445.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $870.96	Professional		$457.09	$616.60	$870.96
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 $602.56 / $776.25 / $1,000.00	Professional		$602.56	$776.25	$1,000.00