Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $2,041.74 / $4,897.79	Facility		$128.82	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $162.18 / $338.84	Professional		$81.28	$162.18	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $138.04	Professional		$64.57	$100.00	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $151.36	Professional		$83.18	$141.25	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $151.36 / $302.00	Professional		$85.11	$151.36	$302.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,047.13 / $4,897.79	Facility		$213.80	$1,047.13	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $208.93 / $338.84	Professional		$85.11	$208.93	$338.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $134.90 / $302.00	Professional		$77.62	$134.90	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,778.28 / $4,073.80	Facility		$537.03	$1,778.28	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $158.49 / $251.19	Professional		$91.20	$158.49	$251.19