Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $2,041.74 / $4,897.79	Facility		$91.20	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $173.78	Professional		$42.66	$70.79	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $45.71	Facility		$12.59	$12.59	$45.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $74.13 / $128.82	Professional		$45.71	$74.13	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $79.43 / $234.42	Professional		$45.71	$79.43	$234.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $2,041.74 / $4,897.79	Facility		$91.20	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $85.11 / $138.04	Professional		$47.86	$85.11	$138.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $72.44 / $204.17	Professional		$45.71	$72.44	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,258.93 / $2,041.74	Facility		$467.74	$1,258.93	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $102.33	Professional		$52.48	$74.13	$102.33