Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $100.00 / $144.54	Facility		$75.86	$100.00	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $158.49	Professional		$70.79	$85.11	$158.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $95.50	Professional		$58.88	$70.79	$95.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $151.36 / $309.03	Facility		$72.44	$151.36	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $72.44 / $72.44	Professional		$69.18	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $102.33 / $204.17	Facility		$81.28	$102.33	$204.17
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $154.88	Professional		$70.79	$83.18	$154.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $81.28 / $81.28	Facility		$70.79	$81.28	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $87.10 / $89.13	Professional		$72.44	$87.10	$89.13