Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $489.78	Facility		$20.89	$20.89	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.18 / $512.86	Professional		$16.98	$28.18	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $26.30 / $27.54	Professional		$25.12	$26.30	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $81.28 / $630.96	Professional		$10.72	$81.28	$630.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $239.88 / $489.78	Facility		$20.89	$239.88	$489.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $123.03 / $489.78	Professional		$18.20	$123.03	$489.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $70.79 / $489.78	Professional		$10.23	$70.79	$489.78
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 $15.85 / $72.44 / $281.84	Professional		$15.85	$72.44	$281.84