Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $107.15	Professional		$30.20	$42.66	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $54.95 / $104.71	Facility		$27.54	$54.95	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $53.70 / $57.54	Professional		$51.29	$53.70	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $54.95 / $87.10	Professional		$41.69	$54.95	$87.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $134.90 / $151.36	Facility		$42.66	$134.90	$151.36
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $53.70 / $74.13	Professional		$36.31	$53.70	$74.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $58.88 / $114.82	Professional		$41.69	$58.88	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $57.54 / $77.62	Professional		$46.77	$57.54	$77.62