Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $4,897.79 / $4,897.79	Facility		$77.62	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $104.71 / $269.15	Professional		$50.12	$104.71	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $114.82	Professional		$81.28	$95.50	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $61.66 / $61.66	Facility		$34.67	$61.66	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $61.66 / $144.54	Professional		$38.02	$61.66	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $95.50 / $245.47	Professional		$47.86	$95.50	$245.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $275.42 / $4,897.79	Facility		$77.62	$275.42	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $109.65 / $190.55	Professional		$58.88	$109.65	$190.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $95.50 / $223.87	Professional		$47.86	$95.50	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $831.76 / $1,862.09	Facility		$154.88	$831.76	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $104.71 / $134.90	Professional		$56.23	$104.71	$134.90