Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $2,041.74 / $4,897.79	Facility		$42.66	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $67.61 / $144.54	Professional		$25.12	$67.61	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $100.00 / $107.15	Professional		$38.02	$100.00	$107.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $26.30 / $26.30	Facility		$8.32	$26.30	$26.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $41.69 / $141.25	Professional		$26.30	$41.69	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $61.66 / $138.04	Professional		$26.30	$61.66	$138.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $2,041.74 / $4,897.79	Facility		$102.33	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $79.43 / $123.03	Professional		$31.62	$79.43	$123.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $60.26 / $134.90	Professional		$26.30	$60.26	$134.90
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 $30.90 / $63.10 / $97.72	Professional		$30.90	$63.10	$97.72