Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $239.88 / $4,897.79	Facility		$57.54	$239.88	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $64.57 / $154.88	Professional		$40.74	$64.57	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $56.23	Professional		$32.36	$54.95	$56.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $64.57 / $95.50	Professional		$13.80	$64.57	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $53.70 / $128.82	Professional		$33.88	$53.70	$128.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $169.82 / $4,897.79	Facility		$57.54	$169.82	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $67.61 / $107.15	Professional		$44.67	$67.61	$107.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $74.13	Professional		$33.88	$44.67	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,000.00 / $1,737.80	Facility		$316.23	$1,000.00	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $81.28	Professional		$45.71	$60.26	$81.28