Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $1,258.93 / $3,981.07	Facility		$114.82	$1,258.93	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $281.84 / $1,202.26	Professional		$67.61	$281.84	$1,202.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $72.44 / $323.59	Professional		$63.10	$72.44	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $22.91 / $22.91	Facility		$19.50	$22.91	$22.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $229.09 / $575.44	Professional		$117.49	$229.09	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $398.11 / $691.83	Professional		$83.18	$398.11	$691.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,348.96 / $3,981.07	Facility		$257.04	$1,348.96	$3,981.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $416.87 / $794.33	Professional		$75.86	$416.87	$794.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $398.11 / $691.83	Professional		$91.20	$398.11	$691.83
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 $91.20 / $416.87 / $741.31	Professional		$91.20	$416.87	$741.31