Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $162.18 / $3,548.13	Facility		$85.11	$162.18	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $83.18 / $173.78	Professional		$30.90	$83.18	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $63.10 / $125.89	Professional		$25.12	$63.10	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $32.36	Facility		$21.88	$21.88	$32.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $34.67 / $95.50	Professional		$19.05	$34.67	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $69.18 / $123.03	Professional		$30.90	$69.18	$123.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $223.87 / $3,548.13	Facility		$85.11	$223.87	$3,548.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $87.10 / $147.91	Professional		$37.15	$87.10	$147.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $74.13 / $123.03	Professional		$34.67	$74.13	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $831.76 / $1,862.09	Facility		$190.55	$831.76	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $77.62 / $123.03	Professional		$39.81	$77.62	$123.03