Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $2,041.74 / $4,897.79	Facility		$208.93	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $131.83 / $234.42	Professional		$61.66	$131.83	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $97.72	Facility		$60.26	$60.26	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $97.72 / $131.83	Professional		$60.26	$97.72	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $147.91 / $316.23	Professional		$67.61	$147.91	$316.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $371.54 / $4,897.79	Facility		$125.89	$371.54	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $151.36 / $229.09	Professional		$61.66	$151.36	$229.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $138.04 / $269.15	Professional		$64.57	$138.04	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,630.27 / $5,623.41	Facility		$588.84	$2,630.27	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $131.83 / $229.09	Professional		$66.07	$131.83	$229.09