Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $2,041.74 / $4,897.79	Facility		$141.25	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $181.97 / $478.63	Professional		$77.62	$181.97	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $77.62 / $128.82	Professional		$70.79	$77.62	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $134.90 / $134.90	Facility		$20.89	$134.90	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $144.54	Professional		$100.00	$134.90	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.18 / $28.18 / $28.18	Facility	53	$28.18	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $186.21 / $407.38	Professional		$89.13	$186.21	$407.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,949.84 / $4,897.79	Facility		$213.80	$1,949.84	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $199.53 / $371.54	Professional		$83.18	$199.53	$371.54
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Priority Health Facility/Professional Facility Modifier 53 Low / Median / High Price $28.18 / $28.18 / $28.18	Facility	53	$28.18	$28.18	$28.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $169.82 / $338.84	Professional		$83.18	$169.82	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,258.93 / $2,041.74	Facility		$302.00	$1,258.93	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $186.21 / $302.00	Professional		$91.20	$186.21	$302.00