Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $426.58 / $4,897.79	Facility		$158.49	$426.58	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $120.23 / $295.12	Professional		$56.23	$120.23	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $95.50 / $104.71	Professional		$56.23	$95.50	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $66.07	Facility		$14.45	$14.45	$66.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $66.07 / $169.82	Professional		$44.67	$66.07	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $114.82 / $295.12	Professional		$57.54	$114.82	$295.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $323.59 / $4,897.79	Facility		$120.23	$323.59	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $125.89 / $223.87	Professional		$61.66	$125.89	$223.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $112.20 / $295.12	Professional		$57.54	$112.20	$295.12
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 $67.61 / $112.20 / $173.78	Professional		$67.61	$112.20	$173.78