Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,884.03 / $6,918.31	Facility		$2,041.74	$2,884.03	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $223.87 / $741.31	Professional		$120.23	$223.87	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $562.34	Professional		$371.54	$562.34	$562.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,290.87 / $4,897.79	Facility		$891.25	$2,290.87	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $354.81 / $1,174.90	Professional		$154.88	$354.81	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,000.00 / $1,737.80	Facility		$316.23	$1,000.00	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $56.23 / $85.11	Professional		$48.98	$56.23	$85.11