Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $2,884.03 / $4,897.79	Facility		$213.80	$2,884.03	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $169.82 / $331.13	Professional		$93.33	$169.82	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $213.80	Facility		$28.84	$28.84	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $269.15	Professional		$144.54	$213.80	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $218.78 / $380.19	Professional		$95.50	$218.78	$380.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $2,884.03 / $4,897.79	Facility		$213.80	$2,884.03	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $213.80 / $363.08	Professional		$109.65	$213.80	$363.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $177.83 / $354.81	Professional		$89.13	$177.83	$354.81
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 $169.82 / $245.47 / $363.08	Professional		$169.82	$245.47	$363.08