Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,897.79 / $4,897.79	Facility		$2,290.87	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $5,128.61	Professional		$1,659.59	$2,137.96	$5,128.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $2,511.89	Facility		$1,584.89	$1,584.89	$2,511.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $2,511.89 / $2,511.89	Professional		$501.19	$2,511.89	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $2,754.23	Professional		$1,513.56	$2,398.83	$2,754.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,897.79 / $5,623.41	Facility		$2,290.87	$4,897.79	$5,623.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $3,090.30	Professional		$1,737.80	$2,187.76	$3,090.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $2,884.03	Professional		$1,513.56	$2,238.72	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,890.45 / $6,025.60	Facility		$1,698.24	$3,890.45	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,344.23 / $3,090.30	Professional		$1,949.84	$2,344.23	$3,090.30