Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,897.79 / $6,918.31	Facility		$2,041.74	$4,897.79	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $331.13	Professional		$107.15	$169.82	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $263.03	Professional		$173.78	$190.55	$263.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $2,041.74 / $4,897.79	Facility		$181.97	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $177.83 / $263.03	Professional		$154.88	$177.83	$263.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,202.26 / $2,041.74	Facility		$302.00	$1,202.26	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $416.87	Professional		$151.36	$199.53	$416.87