Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $85.11 / $85.11	Facility		$83.18	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $128.82	Professional		$83.18	$83.18	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $95.50	Professional		$63.10	$89.13	$95.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $186.21 / $371.54	Facility		$97.72	$186.21	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $85.11	Professional		$81.28	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $100.00 / $316.23	Facility		$87.10	$100.00	$316.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $147.91	Professional		$83.18	$109.65	$147.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $131.83	Professional		$83.18	$102.33	$131.83