Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $4,897.79 / $5,754.40	Facility		$199.53	$4,897.79	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $302.00	Professional		$107.15	$147.91	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $144.54	Professional		$141.25	$141.25	$144.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $38.90 / $38.90	Facility		$33.88	$38.90	$38.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $190.55 / $199.53	Professional		$38.90	$190.55	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $218.78	Professional		$120.23	$144.54	$218.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $4,897.79 / $5,754.40	Facility		$199.53	$4,897.79	$5,754.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $245.47	Professional		$120.23	$162.18	$245.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $218.78	Professional		$120.23	$144.54	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,754.40 / $9,120.11	Facility		$2,511.89	$5,754.40	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $223.87	Professional		$138.04	$169.82	$223.87