Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $128.82 / $229.09	Facility		$33.88	$128.82	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $67.61	Professional		$22.91	$30.20	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $50.12 / $87.10	Facility		$34.67	$50.12	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $43.65 / $46.77	Professional		$34.67	$43.65	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $53.70 / $61.66	Facility		$45.71	$53.70	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.02 / $79.43	Professional		$22.91	$38.02	$79.43
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $125.89 / $190.55	Facility		$34.67	$125.89	$190.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $58.88	Professional		$22.39	$32.36	$58.88
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $53.70 / $61.66	Facility		$45.71	$53.70	$61.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $63.10	Professional		$20.89	$28.18	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $70.79 / $229.09	Facility		$20.89	$70.79	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $29.51 / $44.67	Professional		$25.12	$29.51	$44.67