Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $2,238.72 / $4,677.35	Facility		$239.88	$2,238.72	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $645.65	Professional		$165.96	$229.09	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $162.18 / $204.17	Professional		$144.54	$162.18	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $257.04 / $257.04	Facility		$51.29	$257.04	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $269.15	Professional		$162.18	$257.04	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $363.08	Professional		$158.49	$239.88	$363.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $2,041.74 / $4,897.79	Facility		$239.88	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $467.74	Professional		$165.96	$229.09	$467.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $363.08	Professional		$186.21	$245.47	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,258.93 / $2,041.74	Facility		$467.74	$1,258.93	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $245.47 / $338.84	Professional		$190.55	$245.47	$338.84