Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $2,041.74 / $4,897.79	Facility		$169.82	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $134.90 / $309.03	Professional		$81.28	$134.90	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $177.83	Professional		$100.00	$131.83	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $138.04	Facility		$27.54	$27.54	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $138.04 / $147.91	Professional		$85.11	$138.04	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $144.54 / $416.87	Professional		$85.11	$144.54	$416.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $2,041.74 / $4,897.79	Facility		$169.82	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $251.19	Professional		$87.10	$158.49	$251.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $371.54	Professional		$85.11	$131.83	$371.54
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 $97.72 / $141.25 / $190.55	Professional		$97.72	$141.25	$190.55