Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $5,754.40	Facility		$4,897.79	$4,897.79	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $1,862.09	Professional		$1,148.15	$1,318.26	$1,862.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,230.27 / $1,949.84	Facility		$389.05	$1,230.27	$1,949.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,949.84 / $2,041.74	Professional		$389.05	$1,949.84	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $2,137.96	Professional		$1,174.90	$1,445.44	$2,137.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,897.79 / $6,918.31	Facility		$1,584.89	$4,897.79	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,041.74	Professional		$1,174.90	$1,548.82	$2,041.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,445.44 / $2,089.30	Professional		$1,348.96	$1,445.44	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,585.78 / $14,791.08	Facility		$4,265.80	$7,585.78	$14,791.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $2,187.76	Professional		$1,348.96	$1,659.59	$2,187.76