Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,905.46 / $4,897.79	Facility		$457.09	$1,905.46	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $851.14 / $1,995.26	Professional		$331.13	$851.14	$1,995.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $416.87 / $933.25	Professional		$245.47	$416.87	$933.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $933.25 / $933.25	Facility		$616.60	$933.25	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $1,513.56	Professional		$616.60	$933.25	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $616.60 / $1,445.44	Professional		$331.13	$616.60	$1,445.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,570.40 / $5,754.40	Facility		$549.54	$2,570.40	$5,754.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $954.99 / $1,584.89	Professional		$363.08	$954.99	$1,584.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $616.60 / $1,318.26	Professional		$363.08	$616.60	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,388.44 / $8,709.64	Facility		$1,513.56	$3,388.44	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $707.95 / $1,348.96	Professional		$346.74	$707.95	$1,348.96