Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $25.12 / $25.12	Facility		$23.99	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.12 / $51.29	Professional		$23.99	$25.12	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $23.44	Professional		$10.00	$10.00	$23.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $51.29 / $107.15	Facility		$25.70	$51.29	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $24.55 / $24.55	Professional		$23.44	$24.55	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $40.74 / $81.28	Facility		$25.12	$40.74	$81.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $27.54 / $44.67	Professional		$23.99	$27.54	$44.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $27.54 / $30.20	Facility		$25.70	$27.54	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.11 / $34.67	Professional		$27.54	$33.11	$34.67