Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $2,041.74 / $4,897.79	Facility		$162.18	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $288.40	Professional		$93.33	$123.03	$288.40
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $43.65 / $102.33 / $309.03	Professional	52	$43.65	$102.33	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $169.82 / $169.82	Facility		$107.15	$169.82	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $169.82 / $181.97	Professional		$33.88	$169.82	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $239.88	Professional		$93.33	$134.90	$239.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $2,041.74 / $4,897.79	Facility		$162.18	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $141.25 / $257.04	Professional		$97.72	$141.25	$257.04
Health Alliance Plan Facility/Professional Professional Modifier 52 Low / Median / High Price $43.65 / $61.66 / $102.33	Professional	52	$43.65	$61.66	$102.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $218.78	Professional		$93.33	$128.82	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $870.96 / $1,737.80	Facility		$229.09	$870.96	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $169.82	Professional		$104.71	$128.82	$169.82