Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $257.04 / $4,897.79	Facility		$147.91	$257.04	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $338.84	Professional		$114.82	$190.55	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $162.18	Professional		$109.65	$109.65	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $181.97 / $181.97	Facility		$36.31	$181.97	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $323.59	Professional		$114.82	$181.97	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $186.21 / $309.03	Professional		$109.65	$186.21	$309.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $549.54 / $4,897.79	Facility		$151.36	$549.54	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $218.78 / $338.84	Professional		$123.03	$218.78	$338.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $309.03	Professional		$134.90	$190.55	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,862.09 / $4,073.80	Facility		$549.54	$1,862.09	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $323.59	Professional		$144.54	$213.80	$323.59