Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $2,041.74 / $4,897.79	Facility		$194.98	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $162.18 / $309.03	Professional		$67.61	$162.18	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $575.44 / $1,023.29	Facility		$239.88	$575.44	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $239.88	Professional		$81.28	$87.10	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $144.54 / $309.03	Professional		$67.61	$144.54	$309.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $2,041.74 / $4,897.79	Facility		$186.21	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $173.78 / $263.03	Professional		$70.79	$173.78	$263.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $125.89 / $309.03	Professional		$52.48	$125.89	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $407.38 / $645.65	Facility		$257.04	$407.38	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $138.04 / $208.93	Professional		$69.18	$138.04	$208.93