Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $208.93 / $1,445.44	Facility		$107.15	$208.93	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $380.19	Professional		$104.71	$104.71	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $229.09 / $457.09	Facility		$123.03	$229.09	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $48.98 / $51.29	Professional		$46.77	$48.98	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $117.49	Professional		$104.71	$104.71	$117.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $281.84 / $1,230.27	Facility		$104.71	$281.84	$1,230.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $107.15 / $154.88	Professional		$104.71	$107.15	$154.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $117.49	Professional		$104.71	$104.71	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $109.65 / $151.36	Facility		$104.71	$109.65	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $158.49	Professional		$104.71	$114.82	$158.49