Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $114.82 / $4,897.79	Facility		$72.44	$114.82	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $79.43 / $154.88	Professional		$43.65	$79.43	$154.88
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $234.42 / $234.42 / $234.42	Professional	52	$234.42	$234.42	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $67.61 / $85.11	Professional		$43.65	$67.61	$85.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $69.18 / $117.49	Professional		$15.14	$69.18	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $74.13 / $117.49	Professional		$47.86	$74.13	$117.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $194.98 / $4,897.79	Facility		$72.44	$194.98	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $85.11 / $134.90	Professional		$50.12	$85.11	$134.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $114.82	Professional		$51.29	$74.13	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $831.76 / $1,862.09	Facility		$158.49	$831.76	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.86 / $109.65	Professional		$53.70	$75.86	$109.65