Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $2,041.74 / $4,897.79	Facility		$281.84	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $389.05	Professional		$138.04	$208.93	$389.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $275.42 / $1,122.02	Professional	50	$251.19	$275.42	$1,122.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $194.98	Professional		$97.72	$97.72	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $323.59 / $323.59	Facility		$134.90	$323.59	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $309.03 / $346.74	Professional		$134.90	$309.03	$346.74
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $346.74 / $512.86 / $512.86	Professional	50	$346.74	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $426.58	Professional		$114.82	$186.21	$426.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $2,041.74 / $4,897.79	Facility		$213.80	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $371.54	Professional		$147.91	$223.87	$371.54
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $275.42 / $275.42 / $1,122.02	Professional	50	$275.42	$275.42	$1,122.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $263.03	Professional		$114.82	$154.88	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $891.25 / $1,737.80	Facility		$234.42	$891.25	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $281.84	Professional		$151.36	$204.17	$281.84