Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,905.46 / $4,897.79	Facility		$331.13	$1,905.46	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $588.84	Professional		$194.98	$295.12	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $316.23	Professional		$93.33	$117.49	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $269.15 / $269.15	Facility		$151.36	$269.15	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $269.15 / $398.11	Professional		$53.70	$269.15	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $1,071.52	Professional		$199.53	$316.23	$1,071.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,380.38 / $4,897.79	Facility		$331.13	$1,380.38	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $338.84 / $524.81	Professional		$208.93	$338.84	$524.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $954.99	Professional		$199.53	$288.40	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,238.72 / $4,570.88	Facility		$954.99	$2,238.72	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $416.87	Professional		$234.42	$309.03	$416.87