Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $181.97 / $275.42	Facility		$104.71	$181.97	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $151.36 / $446.68	Professional		$138.04	$151.36	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $208.93	Professional		$117.49	$141.25	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $309.03 / $630.96	Facility		$154.88	$309.03	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $147.91	Professional		$141.25	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $177.83 / $537.03	Facility		$128.82	$177.83	$537.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $295.12	Professional		$147.91	$199.53	$295.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $186.21	Professional		$147.91	$177.83	$186.21