Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $416.87 / $4,897.79	Facility		$158.49	$416.87	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $724.44	Professional		$257.04	$380.19	$724.44
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $316.23 / $446.68 / $758.58	Professional	54	$316.23	$446.68	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $478.63	Professional		$295.12	$346.74	$478.63
Ambetter Facility/Professional Professional Modifier 54 Low / Median / High Price $181.97 / $181.97 / $181.97	Professional	54	$181.97	$181.97	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $199.53	Facility		$72.44	$72.44	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $407.38 / $537.03	Professional		$323.59	$407.38	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $549.54	Professional		$229.09	$323.59	$549.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $501.19 / $4,897.79	Facility		$158.49	$501.19	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $616.60	Professional		$275.42	$389.05	$616.60
Health Alliance Plan Facility/Professional Professional Modifier 54 Low / Median / High Price $309.03 / $371.54 / $794.33	Professional	54	$309.03	$371.54	$794.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $524.81	Professional		$218.78	$316.23	$524.81
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 $257.04 / $323.59 / $426.58	Professional		$257.04	$323.59	$426.58