Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $2,041.74 / $4,897.79	Facility		$158.49	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $389.05	Professional		$173.78	$218.78	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $302.00	Facility		$60.26	$60.26	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $316.23 / $446.68	Professional		$186.21	$316.23	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $416.87	Professional		$162.18	$239.88	$416.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $630.96 / $4,897.79	Facility		$229.09	$630.96	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $398.11	Professional		$186.21	$257.04	$398.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $363.08	Professional		$147.91	$229.09	$363.08
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 $190.55 / $234.42 / $309.03	Professional		$190.55	$234.42	$309.03