Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $2,041.74 / $4,897.79	Facility		$63.10	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $144.54	Professional		$46.77	$60.26	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $61.66	Professional		$53.70	$53.70	$61.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $48.98	Facility		$15.85	$15.85	$48.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $48.98 / $79.43	Professional		$15.85	$48.98	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $138.04	Professional		$47.86	$69.18	$138.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $371.54 / $4,897.79	Facility		$63.10	$371.54	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $81.28	Professional		$47.86	$60.26	$81.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $128.82	Professional		$54.95	$66.07	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $831.76 / $1,862.09	Facility		$158.49	$831.76	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $63.10 / $91.20	Professional		$53.70	$63.10	$91.20