Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $194.98 / $338.84	Facility		$83.18	$194.98	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $72.44 / $162.18	Professional		$57.54	$72.44	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $63.10 / $81.28	Professional		$53.70	$63.10	$81.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $104.71 / $112.20	Professional		$100.00	$104.71	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $154.88	Professional		$63.10	$91.20	$154.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $169.82 / $257.04	Facility		$83.18	$169.82	$257.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $123.03	Professional		$57.54	$77.62	$123.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $91.20 / $154.88	Professional		$58.88	$91.20	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $77.62	Facility		$61.66	$61.66	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $117.49	Professional		$66.07	$85.11	$117.49