Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $213.80	Facility		$208.93	$208.93	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $295.12	Professional		$169.82	$208.93	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $229.09	Professional		$102.33	$151.36	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $489.78 / $977.24	Facility		$257.04	$489.78	$977.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $223.87 / $223.87	Professional		$213.80	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $251.19 / $831.76	Facility		$208.93	$251.19	$831.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $380.19	Professional		$190.55	$257.04	$380.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $269.15 / $281.84	Professional		$223.87	$269.15	$281.84