Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $436.52 / $4,897.79	Facility		$181.97	$436.52	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $245.47 / $549.54	Professional		$125.89	$245.47	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $208.93	Professional		$204.17	$204.17	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $199.53 / $199.53	Facility		$125.89	$199.53	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $288.40 / $380.19	Professional		$125.89	$288.40	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $229.09 / $398.11	Professional		$128.82	$229.09	$398.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $676.08 / $4,897.79	Facility		$181.97	$676.08	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $263.03 / $446.68	Professional		$138.04	$263.03	$446.68
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $218.78 / $398.11	Professional		$125.89	$218.78	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,778.28 / $4,073.80	Facility		$549.54	$1,778.28	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $331.13	Professional		$138.04	$223.87	$331.13