Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $2,884.03 / $5,370.32	Facility		$204.17	$2,884.03	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $416.87	Professional		$131.83	$204.17	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $371.54	Professional		$281.84	$281.84	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $190.55	Professional		$173.78	$173.78	$190.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $2,041.74 / $5,370.32	Facility		$199.53	$2,041.74	$5,370.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $380.19	Professional		$186.21	$218.78	$380.19
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 $165.96 / $223.87 / $549.54	Professional		$165.96	$223.87	$549.54