Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $6,456.54 / $12,589.25	Facility		$1,380.38	$6,456.54	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $2,570.40	Professional		$1,000.00	$1,288.25	$2,570.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,584.89	Professional		$891.25	$1,071.52	$1,584.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $954.99 / $954.99	Facility		$302.00	$954.99	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,621.81 / $2,290.87	Professional		$1,445.44	$1,621.81	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,230.27 / $2,238.72	Professional		$741.31	$1,230.27	$2,238.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $5,495.41 / $12,302.69	Facility		$1,380.38	$5,495.41	$12,302.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $2,238.72	Professional		$1,000.00	$1,412.54	$2,238.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,318.26	Professional		$741.31	$1,071.52	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $7,079.46 / $10,964.78	Facility		$3,162.28	$7,079.46	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $1,819.70	Professional		$1,071.52	$1,445.44	$1,819.70