Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $1,445.44 / $4,897.79	Facility		$77.62	$1,445.44	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $104.71 / $234.42	Professional		$52.48	$104.71	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $89.13	Professional		$70.79	$70.79	$89.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $114.82 / $114.82	Facility		$77.62	$114.82	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $77.62 / $131.83	Professional		$15.49	$77.62	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $93.33 / $186.21	Professional		$50.12	$93.33	$186.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $1,380.38 / $4,897.79	Facility		$93.33	$1,380.38	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $125.89 / $218.78	Professional		$58.88	$125.89	$218.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $87.10 / $165.96	Professional		$45.71	$87.10	$165.96
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 $61.66 / $102.33 / $162.18	Professional		$61.66	$102.33	$162.18