Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $186.21 / $4,897.79	Facility		$102.33	$186.21	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $134.90 / $363.08	Professional		$70.79	$134.90	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $125.89	Professional		$89.13	$107.15	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $100.00 / $100.00	Facility		$54.95	$100.00	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $162.18	Professional		$60.26	$89.13	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $123.03 / $407.38	Professional		$75.86	$123.03	$407.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $346.74 / $4,897.79	Facility		$123.03	$346.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $223.87	Professional		$79.43	$131.83	$223.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $363.08	Professional		$75.86	$114.82	$363.08
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 $79.43 / $114.82 / $154.88	Professional		$79.43	$114.82	$154.88