Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $3,801.89 / $5,754.40	Facility		$204.17	$3,801.89	$5,754.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,548.82 / $4,466.84 / $8,317.64	Facility	50	$1,548.82	$4,466.84	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $489.78	Professional		$138.04	$190.55	$489.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $177.83 / $478.63 / $1,445.44	Professional	50	$177.83	$478.63	$1,445.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $208.93	Professional		$134.90	$151.36	$208.93
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $245.47 / $316.23	Professional	50	$208.93	$245.47	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $47.86 / $363.08	Facility		$40.74	$47.86	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $363.08	Professional		$218.78	$346.74	$363.08
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $331.13 / $389.05 / $389.05	Professional	50	$331.13	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $245.47	Professional		$147.91	$194.98	$245.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $3,715.35 / $5,754.40	Facility		$186.21	$3,715.35	$5,754.40
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $1,380.38 / $4,168.69 / $8,128.31	Facility	50	$1,380.38	$4,168.69	$8,128.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $407.38	Professional		$144.54	$194.98	$407.38
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $177.83 / $489.78 / $1,445.44	Professional	50	$177.83	$489.78	$1,445.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $181.97 / $245.47	Professional		$169.82	$181.97	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,019.95 / $6,025.60	Facility		$1,148.15	$3,019.95	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $263.03	Professional		$162.18	$194.98	$263.03