Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $2,884.03 / $4,897.79	Facility		$338.84	$2,884.03	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $549.54 / $870.96	Professional		$257.04	$549.54	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $380.19	Professional		$239.88	$239.88	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $912.01	Professional		$371.54	$588.84	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $436.52 / $977.24	Professional		$269.15	$436.52	$977.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,778.28 / $4,897.79	Facility		$346.74	$1,778.28	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $630.96 / $912.01	Professional		$275.42	$630.96	$912.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $501.19 / $954.99	Professional		$281.84	$501.19	$954.99
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 $302.00 / $524.81 / $1,096.48	Professional		$302.00	$524.81	$1,096.48