Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $4,897.79	Facility		$2,041.74	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $691.83	Professional		$363.08	$467.74	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $851.14	Professional		$562.34	$758.58	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $575.44 / $630.96	Professional		$346.74	$575.44	$630.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,041.74 / $4,897.79	Facility		$512.86	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $660.69	Professional		$371.54	$478.63	$660.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $707.95	Professional		$346.74	$549.54	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,120.11 / $14,791.08	Facility		$4,265.80	$9,120.11	$14,791.08
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $741.31	Professional		$436.52	$562.34	$741.31