Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $398.11 / $4,897.79	Facility		$120.23	$398.11	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $151.36 / $380.19	Professional		$81.28	$151.36	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $91.20	Professional		$75.86	$75.86	$91.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $87.10 / $87.10	Facility		$28.18	$87.10	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $141.25 / $173.78	Professional		$28.18	$141.25	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $416.87	Professional		$100.00	$181.97	$416.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $426.58 / $4,897.79	Facility		$144.54	$426.58	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $190.55 / $288.40	Professional		$93.33	$190.55	$288.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $181.97 / $371.54	Professional		$95.50	$181.97	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,000.00 / $1,862.09	Facility		$316.23	$1,000.00	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $177.83 / $263.03	Professional		$100.00	$177.83	$263.03