Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,897.79 / $4,897.79	Facility		$602.56	$4,897.79	$4,897.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Facility	50	$10,232.93	$10,232.93	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $977.24	Professional		$416.87	$575.44	$977.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $1,862.09 / $2,570.40	Professional	50	$77.62	$1,862.09	$2,570.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $954.99 / $954.99	Facility		$398.11	$954.99	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $691.83 / $954.99	Professional		$398.11	$691.83	$954.99
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional	50	$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $1,148.15	Professional		$331.13	$501.19	$1,148.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,479.11 / $6,918.31	Facility		$549.54	$1,479.11	$6,918.31
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Facility	50	$10,232.93	$10,232.93	$10,232.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $912.01	Professional		$426.58	$588.84	$912.01
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $776.25 / $2,570.40	Professional	50	$77.62	$776.25	$2,570.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $616.60	Professional		$323.59	$436.52	$616.60
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 $436.52 / $537.03 / $707.95	Professional		$436.52	$537.03	$707.95