Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $37.15	Professional		$23.99	$33.11	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $43.65	Professional		$33.88	$33.88	$43.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $114.82 / $218.78	Facility		$38.02	$114.82	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $35.48 / $37.15	Professional		$33.88	$35.48	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $51.29 / $67.61	Professional		$48.98	$51.29	$67.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $100.00 / $117.49	Facility		$34.67	$100.00	$117.49
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $53.70	Professional		$30.20	$40.74	$53.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $48.98 / $67.61	Professional		$46.77	$48.98	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,890.45 / $6,025.60	Facility		$851.14	$3,890.45	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $48.98	Professional		$29.51	$36.31	$48.98