Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $295.12 / $724.44	Facility		$120.23	$295.12	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $691.83	Professional		$190.55	$316.23	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $389.05	Professional		$204.17	$275.42	$389.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $616.60 / $1,258.93	Facility		$302.00	$616.60	$1,258.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $288.40 / $288.40	Professional		$275.42	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $346.74 / $1,000.00	Facility		$177.83	$346.74	$1,000.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $363.08 / $562.34	Professional		$223.87	$363.08	$562.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $346.74 / $354.81	Professional		$288.40	$346.74	$354.81