Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $4,897.79 / $10,232.93	Facility		$1,348.96	$4,897.79	$10,232.93
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $3,388.44 / $3,388.44 / $4,570.88	Facility	52	$3,388.44	$3,388.44	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $3,090.30	Professional		$912.01	$1,258.93	$3,090.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,047.13 / $1,380.38	Professional		$1,023.29	$1,047.13	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $954.99	Facility		$309.03	$309.03	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,513.56 / $1,621.81	Professional		$912.01	$1,513.56	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $1,621.81	Professional		$933.25	$1,148.15	$1,621.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,897.79 / $9,549.93	Facility		$1,318.26	$4,897.79	$9,549.93
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $3,388.44 / $3,388.44 / $4,570.88	Facility	52	$3,388.44	$3,388.44	$4,570.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $2,511.89	Professional		$933.25	$1,258.93	$2,511.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $1,621.81	Professional		$954.99	$1,148.15	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,585.78 / $13,489.63	Facility		$4,265.80	$7,585.78	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $1,698.24	Professional		$954.99	$1,148.15	$1,698.24