Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $676.08 / $891.25	Professional		$407.38	$676.08	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.13 / $83.18	Professional		$70.79	$74.13	$83.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $134.90 / $141.25	Professional		$128.82	$134.90	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $812.83 / $1,122.02	Professional		$125.89	$812.83	$1,122.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,238.72 / $2,511.89	Facility		$489.78	$2,238.72	$2,511.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $933.25 / $1,288.25	Professional		$489.78	$933.25	$1,288.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $812.83 / $1,122.02	Professional		$104.71	$812.83	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,168.69 / $6,606.93	Facility		$2,630.27	$4,168.69	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $1,122.02	Professional		$707.95	$870.96	$1,122.02