Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $194.98 / $2,041.74	Facility		$66.07	$194.98	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $89.13 / $229.09	Professional		$48.98	$89.13	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $57.54 / $87.10	Professional		$33.11	$57.54	$87.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $52.48 / $52.48	Facility		$14.45	$52.48	$52.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $85.11 / $114.82	Professional		$16.98	$85.11	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $263.03	Professional		$53.70	$87.10	$263.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $208.93 / $1,995.26	Facility		$66.07	$208.93	$1,995.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $91.20 / $158.49	Professional		$53.70	$91.20	$158.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $81.28 / $234.42	Professional		$51.29	$81.28	$234.42
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 $54.95 / $79.43 / $107.15	Professional		$54.95	$79.43	$107.15