Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $2,041.74 / $5,495.41	Facility		$199.53	$2,041.74	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $323.59 / $630.96	Professional		$138.04	$323.59	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $147.91 / $302.00	Professional		$74.13	$147.91	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $263.03 / $263.03	Facility		$151.36	$263.03	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $218.78 / $436.52	Professional		$109.65	$218.78	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $288.40 / $549.54	Professional		$141.25	$288.40	$549.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,148.15 / $5,495.41	Facility		$239.88	$1,148.15	$5,495.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $380.19 / $645.65	Professional		$151.36	$380.19	$645.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $257.04 / $588.84	Professional		$138.04	$257.04	$588.84
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 $151.36 / $323.59 / $512.86	Professional		$151.36	$323.59	$512.86