Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,897.79 / $5,754.40	Facility		$2,754.23	$4,897.79	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,137.96 / $3,630.78	Professional		$1,778.28	$2,137.96	$3,630.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $3,235.94	Facility		$1,995.26	$1,995.26	$3,235.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,235.94 / $3,235.94	Professional		$2,089.30	$3,235.94	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,238.72 / $5,623.41	Professional		$1,621.81	$2,238.72	$5,623.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,897.79 / $5,754.40	Facility		$2,754.23	$4,897.79	$5,754.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $3,235.94	Professional		$1,862.09	$2,398.83	$3,235.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $3,890.45	Professional		$1,513.56	$2,137.96	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,413.10 / $12,882.50	Facility		$4,265.80	$7,413.10	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $3,019.95	Professional		$1,905.46	$2,238.72	$3,019.95