Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $2,884.03 / $9,120.11	Facility		$123.03	$2,884.03	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $186.21	Professional		$83.18	$100.00	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $213.80 / $213.80	Professional		$85.11	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $151.36	Professional		$87.10	$128.82	$151.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $2,041.74 / $6,918.31	Facility		$123.03	$2,041.74	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $186.21	Professional		$87.10	$114.82	$186.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $123.03 / $151.36	Professional		$107.15	$123.03	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,019.95 / $6,025.60	Facility		$1,258.93	$3,019.95	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $162.18	Professional		$100.00	$120.23	$162.18