Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,630.27 / $4,897.79	Facility		$575.44	$2,630.27	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $446.68 / $1,621.81	Professional		$144.54	$446.68	$1,621.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $436.52	Professional		$141.25	$169.82	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $363.08 / $363.08	Facility		$239.88	$363.08	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $776.25	Professional		$239.88	$363.08	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $524.81 / $933.25	Professional		$173.78	$524.81	$933.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,630.27 / $4,897.79	Facility		$575.44	$2,630.27	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $562.34 / $1,096.48	Professional		$162.18	$562.34	$1,096.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $524.81 / $891.25	Professional		$194.98	$524.81	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,019.95 / $6,025.60	Facility		$1,258.93	$3,019.95	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $537.03 / $933.25	Professional		$204.17	$537.03	$933.25