Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,778.28 / $3,162.28	Facility		$758.58	$1,778.28	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $2,238.72	Professional		$562.34	$758.58	$2,238.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $562.34 / $851.14	Professional		$512.86	$562.34	$851.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $2,754.23	Facility		$1,047.13	$1,584.89	$2,754.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $977.24 / $1,047.13	Professional		$912.01	$977.24	$1,047.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,412.54	Professional		$537.03	$741.31	$1,412.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,445.44 / $2,344.23	Facility		$758.58	$1,445.44	$2,344.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,621.81	Professional		$524.81	$758.58	$1,621.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $741.31 / $1,318.26	Professional		$501.19	$741.31	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $660.69	Facility		$512.86	$512.86	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $1,023.29	Professional		$602.56	$741.31	$1,023.29