Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $380.19 / $4,897.79	Facility		$151.36	$380.19	$4,897.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	50	$660.69	$660.69	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $323.59	Professional		$104.71	$151.36	$323.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $194.98 / $1,047.13	Professional	50	$85.11	$194.98	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $120.23 / $125.89	Professional		$114.82	$120.23	$125.89
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $190.55 / $190.55 / $194.98	Professional	50	$190.55	$190.55	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $138.04 / $138.04	Facility		$20.89	$138.04	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $208.93	Professional		$138.04	$186.21	$208.93
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $251.19 / $251.19	Professional	50	$218.78	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $288.40	Professional		$91.20	$128.82	$288.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $380.19 / $4,897.79	Facility		$151.36	$380.19	$4,897.79
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	50	$660.69	$660.69	$660.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $263.03	Professional		$112.20	$151.36	$263.03
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $208.93 / $660.69	Professional	50	$85.11	$208.93	$660.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $151.36	Professional		$89.13	$109.65	$151.36
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 $117.49 / $141.25 / $181.97	Professional		$117.49	$141.25	$181.97