Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $4,897.79 / $12,022.64	Facility		$354.81	$4,897.79	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $758.58	Professional		$251.19	$323.59	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $501.19	Professional		$257.04	$257.04	$501.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $257.04	Facility		$81.28	$81.28	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $407.38 / $426.58	Professional		$81.28	$407.38	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $707.95	Professional		$257.04	$354.81	$707.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $3,715.35 / $10,471.29	Facility		$338.84	$3,715.35	$10,471.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $602.56	Professional		$251.19	$316.23	$602.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $588.84	Professional		$218.78	$302.00	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $4,897.79 / $12,022.64	Facility		$630.96	$4,897.79	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $457.09	Professional		$245.47	$323.59	$457.09