Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,388.44 / $4,897.79	Facility		$724.44	$3,388.44	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $1,698.24	Professional		$467.74	$630.96	$1,698.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $1,174.90	Facility		$794.33	$794.33	$1,174.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,174.90 / $1,174.90	Professional		$489.78	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $1,318.26	Professional		$398.11	$616.60	$1,318.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,041.74 / $4,897.79	Facility		$724.44	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $1,202.26	Professional		$489.78	$630.96	$1,202.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $575.44 / $933.25	Professional		$380.19	$575.44	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,398.83 / $7,244.36	Facility		$776.25	$2,398.83	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $851.14	Professional		$489.78	$630.96	$851.14