Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $131.83 / $316.23	Facility		$60.26	$131.83	$316.23
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $239.88 / $309.03 / $3,548.13	Facility	50	$239.88	$309.03	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $100.00 / $302.00	Professional		$47.86	$100.00	$302.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $181.97 / $758.58	Professional	50	$112.20	$181.97	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $64.57 / $177.83	Professional		$38.02	$64.57	$177.83
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $218.78 / $218.78	Professional	50	$218.78	$218.78	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $44.67 / $72.44	Facility		$14.45	$44.67	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $85.11 / $128.82	Professional		$44.67	$85.11	$128.82
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $114.82 / $194.98	Professional	50	$114.82	$114.82	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $79.43 / $158.49	Professional		$47.86	$79.43	$158.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $131.83 / $363.08	Facility		$60.26	$131.83	$363.08
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $239.88 / $309.03 / $3,548.13	Facility	50	$239.88	$309.03	$3,548.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $102.33 / $194.98	Professional		$53.70	$102.33	$194.98
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $181.97 / $741.31	Professional	50	$112.20	$181.97	$741.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $85.11 / $134.90	Professional		$54.95	$85.11	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $831.76 / $1,862.09	Facility		$100.00	$831.76	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $89.13 / $151.36	Professional		$56.23	$89.13	$151.36