Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $467.74 / $4,897.79	Facility		$147.91	$467.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $309.03	Professional		$112.20	$162.18	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $181.97	Professional		$117.49	$151.36	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $120.23 / $190.55	Facility		$32.36	$120.23	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $190.55 / $234.42	Professional		$39.81	$190.55	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $223.87	Professional		$112.20	$147.91	$223.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $398.11 / $4,897.79	Facility		$147.91	$398.11	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $269.15	Professional		$114.82	$165.96	$269.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $213.80	Professional		$117.49	$138.04	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $933.25 / $1,862.09	Facility		$239.88	$933.25	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $204.17	Professional		$112.20	$141.25	$204.17