Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,897.79 / $4,897.79	Facility		$1,096.48	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $1,258.93	Professional		$724.44	$891.25	$1,258.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $263.03 / $263.03	Facility		$229.09	$263.03	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $1,348.96 / $1,412.54	Professional		$263.03	$1,348.96	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,412.54	Professional		$794.33	$933.25	$1,412.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,818.38 / $4,897.79	Facility		$1,096.48	$2,818.38	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,412.54	Professional		$812.83	$1,071.52	$1,412.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $933.25 / $1,412.54	Professional		$812.83	$933.25	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,890.45 / $6,025.60	Facility		$1,698.24	$3,890.45	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,479.11	Professional		$933.25	$1,096.48	$1,479.11