Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $141.25 / $295.12	Facility		$125.89	$141.25	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $275.42	Professional		$89.13	$134.90	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $154.88	Professional		$93.33	$134.90	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $245.47 / $501.19	Facility		$123.03	$245.47	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $117.49 / $117.49	Professional		$112.20	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $141.25 / $371.54	Facility		$125.89	$141.25	$371.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $141.25 / $251.19	Professional		$131.83	$141.25	$251.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $134.90	Facility		$125.89	$125.89	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $144.54	Professional		$117.49	$141.25	$144.54