Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $2,041.74 / $4,897.79	Facility		$151.36	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $380.19	Professional		$112.20	$173.78	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $245.47	Professional		$117.49	$190.55	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $114.82	Facility		$30.90	$30.90	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $181.97 / $281.84	Professional		$36.31	$181.97	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $275.42	Professional		$123.03	$177.83	$275.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $851.14 / $4,897.79	Facility		$173.78	$851.14	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $331.13	Professional		$125.89	$199.53	$331.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $263.03	Professional		$131.83	$173.78	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,949.84 / $4,073.80	Facility		$676.08	$1,949.84	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $251.19	Professional		$141.25	$181.97	$251.19