Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $812.83 / $4,897.79	Facility		$117.49	$812.83	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $102.33 / $389.05	Professional		$66.07	$102.33	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $177.83	Professional		$95.50	$95.50	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $104.71 / $104.71	Facility		$17.78	$104.71	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $208.93 / $208.93	Professional		$104.71	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $165.96	Professional		$66.07	$97.72	$165.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $323.59 / $4,897.79	Facility		$100.00	$323.59	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $239.88	Professional		$72.44	$109.65	$239.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $151.36	Professional		$58.88	$93.33	$151.36
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 $74.13 / $97.72 / $128.82	Professional		$74.13	$97.72	$128.82