Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $2,884.03 / $4,897.79	Facility		$263.03	$2,884.03	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $870.96 / $1,862.09	Professional		$194.98	$870.96	$1,862.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $354.81	Professional		$165.96	$245.47	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $186.21	Facility		$58.88	$58.88	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $295.12 / $398.11	Professional		$173.78	$295.12	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $812.83 / $2,511.89	Professional		$213.80	$812.83	$2,511.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,884.03 / $4,897.79	Facility		$912.01	$2,884.03	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $1,000.00 / $1,949.84	Professional		$199.53	$1,000.00	$1,949.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $776.25 / $2,238.72	Professional		$204.17	$776.25	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,754.40 / $9,549.93	Facility		$1,412.54	$5,754.40	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $954.99 / $2,137.96	Professional		$218.78	$954.99	$2,137.96