Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $1,023.29 / $4,897.79	Facility		$114.82	$1,023.29	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $147.91	Professional		$64.57	$87.10	$147.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $165.96 / $165.96 / $165.96	Professional	50	$165.96	$165.96	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $75.86	Professional		$69.18	$69.18	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $102.33	Facility		$64.57	$64.57	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $109.65 / $154.88	Professional		$64.57	$109.65	$154.88
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $165.96 / $194.98 / $194.98	Professional	50	$165.96	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $177.83	Professional		$54.95	$79.43	$177.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $1,023.29 / $4,897.79	Facility		$104.71	$1,023.29	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $147.91	Professional		$69.18	$93.33	$147.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $95.50	Professional		$53.70	$67.61	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,818.38 / $5,623.41	Facility		$758.58	$2,818.38	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $112.20	Professional		$70.79	$87.10	$112.20