Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $812.83 / $4,897.79	Facility		$60.26	$812.83	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $117.49 / $389.05	Professional		$36.31	$117.49	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $56.23	Professional		$32.36	$42.66	$56.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $53.70 / $53.70	Facility		$9.33	$53.70	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $53.70 / $57.54	Professional		$9.33	$53.70	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $134.90 / $338.84	Professional		$38.90	$134.90	$338.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $602.56 / $4,897.79	Facility		$158.49	$602.56	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $154.88 / $338.84	Professional		$38.02	$154.88	$338.84
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $125.89 / $288.40	Professional		$38.02	$125.89	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,258.93 / $2,041.74	Facility		$302.00	$1,258.93	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $120.23 / $245.47	Professional		$39.81	$120.23	$245.47