Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,380.38	Facility		$1,318.26	$1,318.26	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $3,090.30	Professional		$891.25	$1,174.90	$3,090.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,548.82 / $1,548.82	Facility		$263.03	$1,548.82	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,548.82 / $1,548.82	Professional		$933.25	$1,548.82	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,819.70	Professional		$891.25	$1,230.27	$1,819.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,818.38 / $3,162.28	Facility		$1,148.15	$2,818.38	$3,162.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,398.83	Professional		$977.24	$1,318.26	$2,398.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,513.56	Professional		$912.01	$1,230.27	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $10,000.00 / $12,882.50	Facility		$4,677.35	$10,000.00	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,698.24	Professional		$933.25	$1,258.93	$1,698.24