Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.77 / $523.85 / $4,867.29	Facility		$295.77	$523.85	$4,867.29
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,551.96 / $4,792.42 / $4,792.42	Facility	50	$2,551.96	$4,792.42	$4,792.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.79 / $346.12 / $523.85	Professional		$206.79	$346.12	$523.85
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.04 / $114.04 / $862.00	Professional	50	$114.04	$114.04	$862.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $807.77 / $807.77 / $807.77	Professional		$807.77	$807.77	$807.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,803.05 / $4,432.58 / $6,005.44	Facility		$3,803.05	$4,432.58	$6,005.44
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,174.94 / $2,780.61 / $4,071.85	Facility	50	$2,174.94	$2,780.61	$4,071.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.94 / $313.18 / $519.21	Professional		$65.94	$313.18	$519.21
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $528.87 / $528.87 / $528.87	Professional	50	$528.87	$528.87	$528.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.09 / $317.94 / $703.17	Professional		$207.09	$317.94	$703.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $295.77 / $523.85 / $4,933.00	Facility		$295.77	$523.85	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $2,551.96 / $4,792.42 / $4,792.42	Facility	50	$2,551.96	$4,792.42	$4,792.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $248.17 / $442.30 / $617.29	Professional		$248.17	$442.30	$617.29
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $114.04 / $114.04 / $862.00	Professional	50	$114.04	$114.04	$862.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $284.56 / $420.12	Professional		$32.13	$284.56	$420.12
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 $412.73 / $485.04 / $624.33	Professional		$412.73	$485.04	$624.33