Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna 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
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $257.04	Professional		$125.89	$151.36	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $147.91 / $147.91	Facility		$46.77	$147.91	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $234.42 / $251.19	Professional		$41.69	$234.42	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $275.42	Professional		$114.82	$169.82	$275.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $2,041.74 / $4,897.79	Facility		$186.21	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $229.09	Professional		$141.25	$169.82	$229.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $263.03	Professional		$112.20	$165.96	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $794.33 / $1,737.80	Facility		$186.21	$794.33	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $218.78	Professional		$134.90	$162.18	$218.78