Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,041.74 / $4,897.79	Facility		$223.87	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $457.09	Professional		$151.36	$263.03	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $316.23	Professional		$173.78	$239.88	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $251.19 / $251.19	Facility		$144.54	$251.19	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $251.19 / $338.84	Professional		$144.54	$251.19	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $380.19	Professional		$144.54	$204.17	$380.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $2,041.74 / $4,897.79	Facility		$295.12	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $426.58	Professional		$165.96	$275.42	$426.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $398.11	Professional		$134.90	$190.55	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $3,162.28 / $6,025.60	Facility		$162.18	$3,162.28	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $323.59	Professional		$147.91	$186.21	$323.59