Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.44 / $952.91 / $4,933.00	Facility		$692.44	$952.91	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.33 / $692.44 / $988.21	Professional		$471.33	$692.44	$988.21
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $707.01 / $2,018.04 / $2,092.69	Professional	50	$707.01	$2,018.04	$2,092.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $264.52 / $529.04 / $1,266.70	Professional		$264.52	$529.04	$1,266.70
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 $1,288.85 / $1,647.77 / $2,320.63	Facility	50	$1,288.85	$1,647.77	$2,320.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.32 / $640.60 / $1,336.02	Professional		$129.32	$640.60	$1,336.02
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,284.63 / $1,284.63 / $1,284.63	Professional	50	$1,284.63	$1,284.63	$1,284.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.50 / $594.54 / $972.66	Professional		$434.50	$594.54	$972.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $729.28 / $753.98 / $4,933.00	Facility		$729.28	$753.98	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $574.63 / $729.28 / $996.18	Professional		$574.63	$729.28	$996.18
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $707.01 / $2,018.04 / $2,092.69	Professional	50	$707.01	$2,018.04	$2,092.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.99 / $482.18 / $822.42	Professional		$67.99	$482.18	$822.42
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 $705.70 / $828.91 / $1,148.05	Professional		$705.70	$828.91	$1,148.05