Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $169.82	Facility		$93.33	$93.33	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $117.49	Professional		$64.57	$83.18	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $109.65 / $194.98	Facility		$74.13	$109.65	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $74.13 / $74.13	Professional		$69.18	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $112.20 / $141.25	Professional		$45.71	$112.20	$141.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $173.78	Facility		$93.33	$93.33	$173.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $93.33 / $128.82	Professional		$77.62	$93.33	$128.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $120.23	Professional		$40.74	$51.29	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $97.72 / $97.72	Facility		$48.98	$97.72	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $63.10	Professional		$38.02	$52.48	$63.10