Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,949.84 / $5,011.87	Facility		$309.03	$1,949.84	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $281.84 / $645.65	Professional		$181.97	$281.84	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $257.04	Professional		$134.90	$208.93	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $177.83 / $177.83	Facility		$56.23	$177.83	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $281.84 / $354.81	Professional		$56.23	$281.84	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $436.52	Professional		$199.53	$316.23	$436.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,949.84 / $5,011.87	Facility		$309.03	$1,949.84	$5,011.87
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $602.56	Professional		$204.17	$302.00	$602.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $275.42 / $436.52	Professional		$223.87	$275.42	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,019.95 / $6,025.60	Facility		$1,230.27	$3,019.95	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $436.52	Professional		$229.09	$309.03	$436.52