Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $2,884.03 / $7,413.10	Facility		$162.18	$2,884.03	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $389.05	Professional		$117.49	$190.55	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $223.87 / $316.23	Professional		$186.21	$223.87	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $31.62 / $89.13	Facility		$26.92	$31.62	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $239.88	Professional		$89.13	$158.49	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $288.40	Professional		$123.03	$173.78	$288.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $2,041.74 / $6,918.31	Facility		$162.18	$2,041.74	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $331.13	Professional		$128.82	$190.55	$331.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $288.40	Professional		$123.03	$173.78	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,235.94 / $6,309.57	Facility		$1,445.44	$3,235.94	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $239.88	Professional		$128.82	$158.49	$239.88