Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $2,041.74 / $4,897.79	Facility		$177.83	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $190.55	Professional		$91.20	$131.83	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $154.88	Professional		$147.91	$147.91	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $128.82 / $128.82	Professional		$123.03	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $151.36 / $239.88	Professional		$93.33	$151.36	$239.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $2,041.74 / $4,897.79	Facility		$154.88	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $194.98	Professional		$97.72	$151.36	$194.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $223.87	Professional		$97.72	$144.54	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,258.93 / $2,041.74	Facility		$467.74	$1,258.93	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $245.47	Professional		$109.65	$169.82	$245.47