Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $2,884.03 / $5,011.87	Facility		$204.17	$2,884.03	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $380.19	Professional		$134.90	$204.17	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $204.17	Professional		$199.53	$199.53	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $338.84 / $338.84	Facility		$141.25	$338.84	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $338.84 / $346.74	Professional		$204.17	$338.84	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $371.54	Professional		$141.25	$213.80	$371.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $2,884.03 / $4,897.79	Facility		$204.17	$2,884.03	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $354.81	Professional		$144.54	$229.09	$354.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $363.08	Professional		$125.89	$204.17	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,238.72 / $4,466.84	Facility		$776.25	$2,238.72	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $275.42	Professional		$151.36	$204.17	$275.42