Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $4,073.80 / $8,912.51	Facility		$316.23	$4,073.80	$8,912.51
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility	22	$6,456.54	$6,456.54	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $302.00 / $912.01	Professional		$229.09	$302.00	$912.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $281.84	Professional		$208.93	$245.47	$281.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $363.08 / $446.68	Professional		$72.44	$363.08	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $398.11	Professional		$218.78	$288.40	$398.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $2,884.03 / $8,912.51	Facility		$309.03	$2,884.03	$8,912.51
Health Alliance Plan Facility/Professional Facility Modifier 22 Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility	22	$6,456.54	$6,456.54	$6,456.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $602.56	Professional		$239.88	$309.03	$602.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $288.40 / $398.11	Professional		$263.03	$288.40	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,011.87 / $9,332.54	Facility		$2,511.89	$5,011.87	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $426.58	Professional		$251.19	$316.23	$426.58