Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $1,949.84 / $4,897.79	Facility		$95.50	$1,949.84	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $181.97 / $467.74	Professional		$53.70	$181.97	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $128.82 / $128.82	Facility		$53.70	$128.82	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $91.20 / $338.84	Professional		$53.70	$91.20	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $158.49 / $363.08	Professional		$53.70	$158.49	$363.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,905.46 / $4,897.79	Facility		$251.19	$1,905.46	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $229.09 / $389.05	Professional		$58.88	$229.09	$389.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $100.00 / $323.59	Professional		$45.71	$100.00	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,951.21 / $5,623.41	Facility		$1,258.93	$2,951.21	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $181.97 / $323.59	Professional		$60.26	$181.97	$323.59