Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $74.13 / $245.47	Facility		$53.70	$74.13	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $87.10 / $354.81	Professional		$52.48	$87.10	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $107.15	Professional		$44.67	$60.26	$107.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $51.29 / $89.13	Facility		$34.67	$51.29	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $95.50	Professional		$64.57	$89.13	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $102.33 / $138.04	Facility		$72.44	$102.33	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $81.28 / $177.83	Professional		$51.29	$81.28	$177.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $74.13 / $245.47	Facility		$53.70	$74.13	$245.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $177.83	Professional		$54.95	$74.13	$177.83
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $102.33 / $138.04	Facility		$72.44	$102.33	$138.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $141.25	Professional		$50.12	$70.79	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $45.71 / $91.20	Facility		$18.20	$45.71	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $72.44 / $100.00	Professional		$58.88	$72.44	$100.00