Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $4,073.80 / $8,511.38	Facility		$794.33	$4,073.80	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $1,122.02	Professional		$204.17	$302.00	$1,122.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $186.21 / $380.19	Professional		$102.33	$186.21	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $323.59 / $323.59	Facility		$204.17	$323.59	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $338.84	Professional		$194.98	$323.59	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $562.34	Professional		$204.17	$275.42	$562.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $3,388.44 / $8,317.64	Facility		$275.42	$3,388.44	$8,317.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $562.34	Professional		$204.17	$269.15	$562.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $467.74	Professional		$177.83	$239.88	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $4,466.84 / $8,709.64	Facility		$630.96	$4,466.84	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $354.81	Professional		$194.98	$257.04	$354.81