Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $1,659.59 / $4,897.79	Facility		$45.71	$1,659.59	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $125.89 / $257.04	Professional		$44.67	$125.89	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $354.81	Professional		$177.83	$229.09	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $933.25 / $977.24	Professional		$128.82	$933.25	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $1,659.59 / $4,897.79	Facility		$45.71	$1,659.59	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $125.89 / $257.04	Professional		$44.67	$125.89	$257.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,995.26 / $4,265.80	Facility		$645.65	$1,995.26	$4,265.80