Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $2,041.74 / $4,897.79	Facility		$302.00	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $288.40 / $724.44	Professional		$208.93	$288.40	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $398.11	Professional		$181.97	$208.93	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $204.17 / $204.17	Facility		$66.07	$204.17	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $354.81	Professional		$204.17	$331.13	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $371.54 / $724.44	Professional		$223.87	$371.54	$724.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $2,041.74 / $4,897.79	Facility		$281.84	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $645.65	Professional		$213.80	$331.13	$645.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $691.83	Professional		$218.78	$309.03	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $5,248.07 / $8,912.51	Facility		$794.33	$5,248.07	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $389.05 / $602.56	Professional		$218.78	$389.05	$602.56