Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $2,041.74 / $4,897.79	Facility		$125.89	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $257.04	Professional		$89.13	$125.89	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $131.83	Facility		$26.30	$26.30	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $199.53	Professional		$83.18	$141.25	$199.53
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $213.80 / $213.80 / $288.40	Professional	50	$213.80	$213.80	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $117.49 / $257.04	Professional		$70.79	$117.49	$257.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $2,041.74 / $4,897.79	Facility		$154.88	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $223.87	Professional		$102.33	$147.91	$223.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $158.49	Professional		$72.44	$107.15	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,513.56 / $5,370.32	Facility		$724.44	$1,513.56	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $186.21	Professional		$102.33	$141.25	$186.21