Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $2,041.74 / $4,897.79	Facility		$478.63	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $302.00 / $602.56	Professional		$85.11	$302.00	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $120.23 / $120.23	Facility		$23.99	$120.23	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $120.23 / $120.23	Professional		$23.99	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $691.83	Professional		$97.72	$151.36	$691.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,041.74 / $4,897.79	Facility		$436.52	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $407.38 / $616.60	Professional		$97.72	$407.38	$616.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $676.08	Professional		$102.33	$151.36	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,778.28 / $4,073.80	Facility		$489.78	$1,778.28	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $380.19 / $660.69	Professional		$109.65	$380.19	$660.69