Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $2,041.74 / $4,897.79	Facility		$165.96	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $338.84	Professional		$123.03	$190.55	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $223.87	Professional		$173.78	$173.78	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $190.55 / $190.55	Facility		$38.02	$190.55	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $204.17	Professional		$120.23	$190.55	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $436.52	Professional		$128.82	$204.17	$436.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $512.86 / $4,897.79	Facility		$177.83	$512.86	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $302.00	Professional		$123.03	$199.53	$302.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $426.58	Professional		$125.89	$199.53	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $891.25 / $1,737.80	Facility		$144.54	$891.25	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $309.03	Professional		$128.82	$194.98	$309.03