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 $87.10 / $162.18 / $295.12	Professional		$87.10	$162.18	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $213.80	Facility		$141.25	$141.25	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $281.84	Professional		$134.90	$213.80	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $147.91 / $380.19	Professional		$75.86	$147.91	$380.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,905.46 / $4,897.79	Facility		$181.97	$1,905.46	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $190.55 / $302.00	Professional		$97.72	$190.55	$302.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $128.82 / $204.17	Professional		$74.13	$128.82	$204.17
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 $102.33 / $165.96 / $234.42	Professional		$102.33	$165.96	$234.42