Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $245.47 / $4,897.79	Facility		$89.13	$245.47	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $131.83 / $398.11	Professional		$66.07	$131.83	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $229.09	Professional		$69.18	$109.65	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $151.36 / $346.74	Professional		$77.62	$151.36	$346.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $309.03 / $4,897.79	Facility		$89.13	$309.03	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $162.18 / $269.15	Professional		$81.28	$162.18	$269.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $151.36 / $288.40	Professional		$77.62	$151.36	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $831.76 / $1,862.09	Facility		$154.88	$831.76	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $147.91 / $229.09	Professional		$79.43	$147.91	$229.09