Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $363.08 / $3,090.30	Facility		$123.03	$363.08	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $208.93 / $537.03	Professional		$91.20	$208.93	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $338.84	Professional		$87.10	$123.03	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $125.89 / $125.89	Facility		$18.62	$125.89	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $125.89 / $309.03	Professional		$21.88	$125.89	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $190.55 / $501.19	Professional		$97.72	$190.55	$501.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $426.58 / $3,467.37	Facility		$123.03	$426.58	$3,467.37
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $213.80 / $380.19	Professional		$100.00	$213.80	$380.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $169.82 / $446.68	Professional		$95.50	$169.82	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,862.09 / $4,073.80	Facility		$549.54	$1,862.09	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $165.96 / $251.19	Professional		$102.33	$165.96	$251.19