Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,041.74 / $4,897.79	Facility		$467.74	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $446.68	Professional		$144.54	$234.42	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $251.19	Professional		$109.65	$109.65	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $251.19 / $251.19	Facility		$158.49	$251.19	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $251.19 / $407.38	Professional		$51.29	$251.19	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $812.83	Professional		$151.36	$239.88	$812.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $2,041.74 / $4,897.79	Facility		$288.40	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $426.58	Professional		$154.88	$263.03	$426.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $707.95	Professional		$151.36	$229.09	$707.95
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 $169.82 / $234.42 / $323.59	Professional		$169.82	$234.42	$323.59