Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $107.15 / $186.21	Facility		$45.71	$107.15	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $42.66 / $87.10	Professional		$33.11	$42.66	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $39.81	Professional		$34.67	$34.67	$39.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $60.26 / $63.10	Professional		$56.23	$60.26	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.95 / $107.15	Professional		$34.67	$54.95	$107.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $93.33 / $141.25	Facility		$45.71	$93.33	$141.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $42.66 / $74.13	Professional		$31.62	$42.66	$74.13
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $107.15	Professional		$30.90	$44.67	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $41.69 / $41.69	Facility		$34.67	$41.69	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $66.07	Professional		$33.88	$43.65	$66.07