Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $79.43 / $89.13	Facility		$67.61	$79.43	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $75.86 / $117.49	Professional		$58.88	$75.86	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $61.66 / $109.65	Professional		$51.29	$61.66	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $97.72 / $117.49	Facility		$87.10	$97.72	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $120.23	Professional		$93.33	$117.49	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $83.18 / $104.71	Professional		$54.95	$83.18	$104.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $79.43 / $89.13	Facility		$75.86	$79.43	$89.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $120.23	Professional		$58.88	$77.62	$120.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $83.18 / $91.20	Professional		$54.95	$83.18	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $125.89	Professional		$72.44	$89.13	$125.89