Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.90 / $120.23	Facility		$30.20	$30.90	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $52.48	Professional		$30.20	$32.36	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.84 / $60.26	Professional		$15.85	$28.84	$60.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $63.10 / $128.82	Facility		$31.62	$63.10	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $30.20 / $30.20	Professional		$28.84	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $42.66 / $95.50	Facility		$34.67	$42.66	$95.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $48.98	Professional		$30.20	$32.36	$48.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $32.36 / $32.36	Facility		$30.90	$32.36	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $42.66	Professional		$33.88	$40.74	$42.66