Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,230.27 / $4,897.79	Facility		$162.18	$1,230.27	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $173.78 / $416.87	Professional		$95.50	$173.78	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $147.91 / $181.97	Professional		$81.28	$147.91	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $100.00 / $100.00	Facility		$87.10	$100.00	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $158.49 / $218.78	Professional		$30.20	$158.49	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $645.65	Professional		$114.82	$169.82	$645.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,230.27 / $4,897.79	Facility		$177.83	$1,230.27	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $309.03	Professional		$117.49	$181.97	$309.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $575.44	Professional		$109.65	$154.88	$575.44
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 $128.82 / $162.18 / $223.87	Professional		$128.82	$162.18	$223.87