Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $2,884.03 / $4,897.79	Facility		$208.93	$2,884.03	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $457.09	Professional		$134.90	$218.78	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $208.93 / $323.59	Professional		$112.20	$208.93	$323.59
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $338.84 / $338.84 / $338.84	Professional	50	$338.84	$338.84	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $218.78 / $218.78	Facility		$138.04	$218.78	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $371.54	Professional		$218.78	$316.23	$371.54
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $354.81 / $562.34 / $562.34	Professional	50	$354.81	$562.34	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $478.63	Professional		$114.82	$190.55	$478.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $2,884.03 / $4,897.79	Facility		$239.88	$2,884.03	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $251.19 / $407.38	Professional		$141.25	$251.19	$407.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $269.15	Professional		$117.49	$169.82	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,365.16 / $7,413.10	Facility		$1,819.70	$4,365.16	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $309.03	Professional		$154.88	$229.09	$309.03