Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,621.81 / $3,388.44	Facility		$128.82	$1,621.81	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $204.17 / $467.74	Professional		$87.10	$204.17	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $89.13 / $131.83	Professional		$83.18	$89.13	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $144.54 / $144.54	Facility		$28.84	$144.54	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $380.19	Professional		$144.54	$218.78	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $251.19 / $457.09	Professional		$107.15	$251.19	$457.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,445.44 / $3,388.44	Facility		$128.82	$1,445.44	$3,388.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $251.19 / $407.38	Professional		$97.72	$251.19	$407.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $257.04 / $389.05	Professional		$114.82	$257.04	$389.05
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 $114.82 / $218.78 / $363.08	Professional		$114.82	$218.78	$363.08