Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $2,041.74 / $4,897.79	Facility		$151.36	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $239.88	Professional		$72.44	$112.20	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $158.49	Professional		$75.86	$75.86	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $120.23 / $120.23	Facility		$74.13	$120.23	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $169.82 / $190.55	Professional		$95.50	$169.82	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $204.17	Professional		$75.86	$112.20	$204.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $741.31 / $4,897.79	Facility		$147.91	$741.31	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $213.80	Professional		$79.43	$123.03	$213.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $181.97	Professional		$74.13	$104.71	$181.97
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 $79.43 / $107.15 / $147.91	Professional		$79.43	$107.15	$147.91