Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.77 / $1,039.13 / $7,217.95	Facility		$766.77	$1,039.13	$7,217.95
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,075.68 / $5,075.68 / $6,498.00	Facility	50	$5,075.68	$5,075.68	$6,498.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.99 / $708.87 / $1,145.17	Professional		$519.99	$708.87	$1,145.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $787.82 / $835.47 / $981.92	Professional	50	$787.82	$835.47	$981.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $584.53 / $584.53 / $1,262.93	Professional		$584.53	$584.53	$1,262.93
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $825.18 / $825.18 / $876.80	Professional	50	$825.18	$825.18	$876.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,065.78 / $2,407.73 / $3,262.10	Facility		$2,065.78	$2,407.73	$3,262.10
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,181.41 / $1,631.05 / $2,096.98	Facility	50	$1,181.41	$1,631.05	$2,096.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.35 / $705.14 / $1,322.14	Professional		$142.35	$705.14	$1,322.14
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,414.05 / $1,414.05 / $1,751.99	Professional	50	$1,414.05	$1,414.05	$1,751.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.99 / $684.29 / $1,071.67	Professional		$481.99	$684.29	$1,071.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $745.20 / $1,007.46 / $7,217.95	Facility		$745.20	$1,007.46	$7,217.95
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $5,075.68 / $5,075.68 / $6,498.00	Facility	50	$5,075.68	$5,075.68	$6,498.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $594.02 / $795.15 / $1,173.32	Professional		$594.02	$795.15	$1,173.32
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $787.82 / $835.47 / $981.92	Professional	50	$787.82	$835.47	$981.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $495.41 / $817.54	Professional		$68.25	$495.41	$817.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,708.00 / $8,884.00	Facility		$1,450.00	$5,708.00	$8,884.00
United Facility/Professional Professional Modifier Low / Median / High Price $740.08 / $861.49 / $1,168.48	Professional		$740.08	$861.49	$1,168.48