Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,905.46 / $1,905.46	Facility		$575.44	$1,905.46	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $812.83	Professional		$426.58	$537.03	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $794.33	Professional		$602.56	$758.58	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,019.95 / $5,888.44	Facility		$1,288.25	$3,019.95	$5,888.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,023.29 / $1,071.52	Professional		$954.99	$1,023.29	$1,071.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,174.90	Professional		$512.86	$707.95	$1,174.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,905.46 / $2,137.96	Facility		$575.44	$1,905.46	$2,137.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $812.83 / $1,230.27	Professional		$501.19	$812.83	$1,230.27
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $831.76	Professional		$512.86	$707.95	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $812.83 / $1,230.27	Facility		$309.03	$812.83	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $724.44	Professional		$354.81	$478.63	$724.44