Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,041.74 / $4,897.79	Facility		$223.87	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $489.78 / $1,318.26	Professional		$144.54	$489.78	$1,318.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $69.18 / $74.13	Professional		$58.88	$69.18	$74.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $338.84	Facility		$229.09	$229.09	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $338.84 / $1,230.27	Professional		$134.90	$338.84	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $1,348.96	Professional		$154.88	$257.04	$1,348.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,041.74 / $4,897.79	Facility		$954.99	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $891.25 / $1,380.38	Professional		$165.96	$891.25	$1,380.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $1,380.38	Professional		$154.88	$263.03	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,258.93 / $2,041.74	Facility		$467.74	$1,258.93	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $741.31 / $1,412.54	Professional		$194.98	$741.31	$1,412.54