Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,380.38 / $4,897.79	Facility		$295.12	$1,380.38	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $575.44	Professional		$186.21	$239.88	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $269.15	Professional		$134.90	$208.93	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $338.84 / $380.19	Professional		$199.53	$338.84	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $446.68	Professional		$173.78	$263.03	$446.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,318.26 / $4,897.79	Facility		$281.84	$1,318.26	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $489.78	Professional		$199.53	$269.15	$489.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $398.11	Professional		$162.18	$251.19	$398.11
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 $208.93 / $257.04 / $346.74	Professional		$208.93	$257.04	$346.74