Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $467.74 / $724.44	Facility		$194.98	$467.74	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $309.03	Professional		$141.25	$194.98	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $245.47 / $457.09	Professional		$234.42	$245.47	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $177.83 / $309.03	Facility		$114.82	$177.83	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $107.15 / $114.82	Professional		$102.33	$107.15	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $537.03	Professional		$158.49	$204.17	$537.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $467.74 / $616.60	Facility		$199.53	$467.74	$616.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $380.19	Professional		$165.96	$245.47	$380.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $407.38	Professional		$151.36	$173.78	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $218.78 / $1,071.52	Facility		$204.17	$218.78	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $316.23	Professional		$154.88	$218.78	$316.23