Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $2,041.74 / $4,897.79	Facility		$194.98	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $281.84	Professional		$100.00	$154.88	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $169.82	Professional		$158.49	$158.49	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $169.82 / $269.15	Professional		$45.71	$169.82	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $257.04	Professional		$114.82	$165.96	$257.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $2,041.74 / $4,897.79	Facility		$194.98	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $281.84	Professional		$114.82	$177.83	$281.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $245.47	Professional		$123.03	$162.18	$245.47
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 $131.83 / $169.82 / $234.42	Professional		$131.83	$169.82	$234.42