Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $4,786.30 / $6,918.31	Facility		$323.59	$4,786.30	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $602.56	Professional		$194.98	$281.84	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $190.55	Facility		$60.26	$60.26	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $302.00 / $407.38	Professional		$60.26	$302.00	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $426.58	Professional		$186.21	$275.42	$426.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $2,884.03 / $6,918.31	Facility		$323.59	$2,884.03	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $316.23 / $602.56	Professional		$204.17	$316.23	$602.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $416.87	Professional		$208.93	$275.42	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,365.16 / $7,244.36	Facility		$1,621.81	$4,365.16	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $295.12 / $416.87	Professional		$223.87	$295.12	$416.87