Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $3,388.44 / $6,456.54	Facility		$478.63	$3,388.44	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $1,380.38	Professional		$302.00	$457.09	$1,380.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $338.84 / $467.74	Professional		$199.53	$338.84	$467.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $537.03	Facility		$338.84	$338.84	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $575.44 / $812.83	Professional		$338.84	$575.44	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $977.24	Professional		$263.03	$398.11	$977.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $3,090.30 / $5,754.40	Facility		$467.74	$3,090.30	$5,754.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $933.25	Professional		$323.59	$446.68	$933.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $630.96	Professional		$257.04	$389.05	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,981.07 / $7,244.36	Facility		$1,258.93	$3,981.07	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $398.11 / $524.81	Professional		$316.23	$398.11	$524.81