Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $2,884.03 / $4,897.79	Facility		$302.00	$2,884.03	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $691.83	Professional		$234.42	$371.54	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $575.44 / $575.44	Facility		$389.05	$575.44	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $575.44	Professional		$389.05	$575.44	$575.44
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $616.60 / $616.60 / $616.60	Professional	50	$616.60	$616.60	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $616.60	Professional		$245.47	$380.19	$616.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $2,884.03 / $4,897.79	Facility		$302.00	$2,884.03	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $436.52 / $676.08	Professional		$251.19	$436.52	$676.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $616.60	Professional		$263.03	$380.19	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,235.94 / $7,585.78	Facility		$1,513.56	$3,235.94	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $575.44	Professional		$269.15	$398.11	$575.44