Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $194.98 / $4,897.79	Facility		$109.65	$194.98	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $134.90 / $389.05	Professional		$70.79	$134.90	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $93.33 / $112.20	Professional		$85.11	$93.33	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $72.44	Facility		$51.29	$51.29	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $81.28 / $154.88	Professional		$43.65	$81.28	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $125.89 / $331.13	Professional		$72.44	$125.89	$331.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $346.74 / $5,011.87	Facility		$109.65	$346.74	$5,011.87
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $134.90 / $239.88	Professional		$77.62	$134.90	$239.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $112.20 / $288.40	Professional		$64.57	$112.20	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $831.76 / $1,862.09	Facility		$181.97	$831.76	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $114.82 / $186.21	Professional		$74.13	$114.82	$186.21