Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $4,897.79 / $4,897.79	Facility		$81.28	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $123.03 / $234.42	Professional		$61.66	$123.03	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $50.12 / $50.12	Facility		$46.77	$50.12	$50.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $74.13 / $181.97	Professional		$15.49	$74.13	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $123.03 / $338.84	Professional		$64.57	$123.03	$338.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $354.81 / $4,897.79	Facility		$131.83	$354.81	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $141.25 / $208.93	Professional		$69.18	$141.25	$208.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $120.23 / $309.03	Professional		$64.57	$120.23	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,000.00 / $1,862.09	Facility		$316.23	$1,000.00	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $125.89 / $186.21	Professional		$75.86	$125.89	$186.21