Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $234.42 / $4,897.79	Facility		$0.65	$234.42	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $288.40	Professional		$117.49	$158.49	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $199.53	Professional		$100.00	$134.90	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $295.12	Professional		$186.21	$239.88	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $251.19	Professional		$107.15	$154.88	$251.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $416.87 / $4,897.79	Facility		$147.91	$416.87	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $275.42	Professional		$123.03	$177.83	$275.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $229.09	Professional		$100.00	$151.36	$229.09
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 $123.03 / $151.36 / $199.53	Professional		$123.03	$151.36	$199.53