Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $4,897.79	Facility		$2,041.74	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $107.15 / $281.84	Professional		$67.61	$107.15	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $77.62 / $102.33	Professional		$72.44	$77.62	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $112.20 / $112.20	Facility		$22.39	$112.20	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $120.23	Professional		$72.44	$112.20	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $85.11 / $123.03	Professional		$67.61	$85.11	$123.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $2,041.74 / $4,897.79	Facility		$89.13	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $199.53	Professional		$70.79	$95.50	$199.53
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $85.11 / $123.03	Professional		$79.43	$85.11	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,890.45 / $6,025.60	Facility		$1,698.24	$3,890.45	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $128.82	Professional		$79.43	$97.72	$128.82