Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $2,041.74 / $4,897.79	Facility		$112.20	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $234.42 / $416.87	Professional		$85.11	$234.42	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $131.83	Facility		$26.30	$26.30	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $138.04 / $138.04	Professional		$81.28	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $229.09 / $489.78	Professional		$93.33	$229.09	$489.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $588.84 / $4,897.79	Facility		$141.25	$588.84	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $251.19 / $416.87	Professional		$85.11	$251.19	$416.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $208.93 / $398.11	Professional		$89.13	$208.93	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,398.83 / $5,623.41	Facility		$588.84	$2,398.83	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $213.80 / $371.54	Professional		$93.33	$213.80	$371.54