Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $269.15 / $4,897.79	Facility		$158.49	$269.15	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $407.38	Professional		$125.89	$190.55	$407.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $100.00 / $323.59 / $676.08	Professional	50	$100.00	$323.59	$676.08
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $234.42 / $234.42 / $234.42	Professional	50	$234.42	$234.42	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $151.36 / $151.36	Facility		$134.90	$151.36	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $162.18 / $223.87	Professional		$34.67	$162.18	$223.87
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $239.88 / $302.00 / $302.00	Professional	50	$239.88	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $363.08	Professional		$114.82	$165.96	$363.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $707.95 / $4,897.79	Facility		$162.18	$707.95	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $338.84	Professional		$151.36	$208.93	$338.84
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $323.59 / $323.59 / $676.08	Professional	50	$323.59	$323.59	$676.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $229.09	Professional		$114.82	$151.36	$229.09
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 $147.91 / $208.93 / $302.00	Professional		$147.91	$208.93	$302.00