Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $2,041.74 / $4,897.79	Facility		$173.78	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $346.74	Professional		$100.00	$165.96	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $141.25 / $141.25	Facility		$125.89	$141.25	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $125.89 / $229.09	Professional		$25.12	$125.89	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $575.44	Professional		$104.71	$173.78	$575.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $2,041.74 / $4,897.79	Facility		$190.55	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $288.40	Professional		$112.20	$186.21	$288.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $501.19	Professional		$104.71	$162.18	$501.19
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 $123.03 / $165.96 / $223.87	Professional		$123.03	$165.96	$223.87