Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,047.13 / $4,897.79	Facility		$128.82	$1,047.13	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $162.18 / $407.38	Professional		$89.13	$162.18	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $128.82 / $134.90	Professional		$46.77	$128.82	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $79.43 / $79.43	Facility		$70.79	$79.43	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $117.49 / $177.83	Professional		$25.70	$117.49	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $524.81	Professional		$93.33	$138.04	$524.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,258.93 / $4,897.79	Facility		$128.82	$1,258.93	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $154.88 / $281.84	Professional		$97.72	$154.88	$281.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $467.74	Professional		$91.20	$125.89	$467.74
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 $100.00 / $131.83 / $173.78	Professional		$100.00	$131.83	$173.78