Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,023.29 / $4,897.79	Facility		$436.52	$1,023.29	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $691.83	Professional		$295.12	$389.05	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $489.78	Professional		$416.87	$416.87	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $758.58	Facility		$316.23	$316.23	$758.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $588.84 / $758.58	Professional		$478.63	$588.84	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $691.83	Professional		$263.03	$380.19	$691.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,023.29 / $4,897.79	Facility		$416.87	$1,023.29	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $691.83	Professional		$316.23	$446.68	$691.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $588.84	Professional		$245.47	$371.54	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $794.33 / $1,737.80	Facility		$186.21	$794.33	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $512.86	Professional		$309.03	$380.19	$512.86