Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $2,884.03 / $4,897.79	Facility		$380.19	$2,884.03	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $275.42 / $501.19	Professional		$147.91	$275.42	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $371.54 / $371.54	Facility		$154.88	$371.54	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $478.63	Professional		$234.42	$371.54	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $512.86	Professional		$154.88	$257.04	$512.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $2,884.03 / $4,897.79	Facility		$302.00	$2,884.03	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $316.23 / $524.81	Professional		$162.18	$316.23	$524.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $251.19 / $467.74	Professional		$134.90	$251.19	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,951.21 / $5,623.41	Facility		$1,258.93	$2,951.21	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $380.19	Professional		$162.18	$263.03	$380.19