Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $2,570.40 / $4,897.79	Facility		$263.03	$2,570.40	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $398.11	Professional		$125.89	$199.53	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $223.87 / $363.08	Professional		$134.90	$223.87	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $218.78 / $707.95	Professional		$128.82	$218.78	$707.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $2,041.74 / $4,897.79	Facility		$245.47	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $229.09 / $346.74	Professional		$138.04	$229.09	$346.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $630.96	Professional		$128.82	$204.17	$630.96
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 $151.36 / $213.80 / $288.40	Professional		$151.36	$213.80	$288.40