Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,884.03 / $4,897.79	Facility		$467.74	$2,884.03	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $602.56 / $1,513.56	Professional		$295.12	$602.56	$1,513.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $588.84 / $870.96	Professional		$269.15	$588.84	$870.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $1,023.29	Professional		$478.63	$707.95	$1,023.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $562.34 / $1,513.56	Professional		$295.12	$562.34	$1,513.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,778.28 / $4,897.79	Facility		$645.65	$1,778.28	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $616.60 / $1,023.29	Professional		$316.23	$616.60	$1,023.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $562.34 / $1,318.26	Professional		$295.12	$562.34	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,202.26 / $2,089.30	Facility		$478.63	$1,202.26	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $562.34 / $776.25	Professional		$338.84	$562.34	$776.25