Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $436.52 / $4,897.79	Facility		$263.03	$436.52	$4,897.79
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	54	$891.25	$891.25	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $676.08	Professional		$263.03	$323.59	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $501.19 / $707.95	Professional		$446.68	$501.19	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $602.56	Professional		$251.19	$354.81	$602.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $457.09 / $4,897.79	Facility		$263.03	$457.09	$4,897.79
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	54	$891.25	$891.25	$891.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $660.69	Professional		$288.40	$380.19	$660.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $549.54	Professional		$239.88	$346.74	$549.54
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 $288.40 / $354.81 / $467.74	Professional		$288.40	$354.81	$467.74