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 / $4,897.79	Facility		$1,348.96	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,819.70	Professional		$1,000.00	$1,230.27	$1,819.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $1,479.11	Facility		$302.00	$302.00	$1,479.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $1,479.11 / $1,479.11	Professional		$302.00	$1,479.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,479.11 / $1,621.81	Professional		$912.01	$1,479.11	$1,621.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $4,897.79	Facility		$1,348.96	$3,548.13	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,778.28	Professional		$1,000.00	$1,288.25	$1,778.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,318.26 / $1,862.09	Professional		$912.01	$1,318.26	$1,862.09
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 $1,174.90 / $1,479.11 / $1,905.46	Professional		$1,174.90	$1,479.11	$1,905.46