Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.60 / $820.99 / $4,933.00	Facility		$595.60	$820.99	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.39 / $579.44 / $781.90	Professional		$430.39	$579.44	$781.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $738.54 / $738.54 / $738.54	Professional	50	$738.54	$738.54	$738.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $454.46 / $454.46 / $454.46	Professional		$454.46	$454.46	$454.46
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 $1,112.96 / $1,631.05 / $2,211.79	Facility	50	$1,112.96	$1,631.05	$2,211.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.49 / $428.27 / $1,079.23	Professional		$116.49	$428.27	$1,079.23
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,099.29 / $1,099.29 / $1,099.29	Professional	50	$1,099.29	$1,099.29	$1,099.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.03 / $542.75 / $833.54	Professional		$397.03	$542.75	$833.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $580.80 / $795.97 / $4,933.00	Facility		$580.80	$795.97	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $508.41 / $617.66 / $820.99	Professional		$508.41	$617.66	$820.99
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $738.54 / $738.54 / $738.54	Professional	50	$738.54	$738.54	$738.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.99 / $390.74 / $653.91	Professional		$67.99	$390.74	$653.91
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 $580.69 / $669.53 / $912.35	Professional		$580.69	$669.53	$912.35