Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $316.23	Professional		$169.82	$263.03	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $331.13 / $338.84	Professional		$75.86	$331.13	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,000.00 / $1,905.46	Facility		$389.05	$1,000.00	$1,905.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $331.13 / $331.13	Professional		$316.23	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $15.49 / $316.23	Facility		$6.17	$15.49	$316.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $245.47 / $407.38	Professional		$5.75	$245.47	$407.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $338.84	Facility		$269.15	$269.15	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $416.87	Professional		$165.96	$263.03	$416.87