Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,884.03 / $6,918.31	Facility		$223.87	$2,884.03	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $380.19	Professional		$154.88	$213.80	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $263.03	Facility		$162.18	$162.18	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $263.03 / $288.40	Professional		$52.48	$263.03	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $346.74	Professional		$162.18	$234.42	$346.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,884.03 / $6,918.31	Facility		$223.87	$2,884.03	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $380.19	Professional		$169.82	$234.42	$380.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $338.84	Professional		$165.96	$213.80	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,011.87 / $8,912.51	Facility		$2,511.89	$5,011.87	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $302.00	Professional		$173.78	$218.78	$302.00