Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,884.03 / $4,897.79	Facility		$616.60	$2,884.03	$4,897.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility	50	$3,467.37	$3,467.37	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $676.08 / $1,380.38	Professional		$457.09	$676.08	$1,380.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $588.84	Professional		$416.87	$549.54	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $467.74 / $741.31	Facility		$125.89	$467.74	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $741.31 / $1,122.02	Professional		$446.68	$741.31	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $724.44 / $1,122.02	Professional		$457.09	$724.44	$1,122.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,089.30 / $4,897.79	Facility		$630.96	$2,089.30	$4,897.79
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility	50	$3,467.37	$3,467.37	$3,467.37
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $794.33 / $1,348.96	Professional		$489.78	$794.33	$1,348.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $1,122.02	Professional		$524.81	$741.31	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,011.87 / $8,912.51	Facility		$2,511.89	$5,011.87	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $1,047.13	Professional		$524.81	$724.44	$1,047.13