Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $223.87 / $4,897.79	Facility		$120.23	$223.87	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $398.11	Professional		$109.65	$162.18	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $204.17	Professional		$100.00	$134.90	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $85.11 / $117.49	Facility		$26.92	$85.11	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $85.11 / $186.21	Professional		$22.39	$85.11	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $223.87	Professional		$100.00	$158.49	$223.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $354.81 / $4,897.79	Facility		$125.89	$354.81	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $288.40	Professional		$114.82	$165.96	$288.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $218.78	Professional		$114.82	$147.91	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $831.76 / $1,862.09	Facility		$154.88	$831.76	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $218.78	Professional		$117.49	$154.88	$218.78