Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $165.96	Facility		$128.82	$128.82	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $371.54	Professional		$109.65	$162.18	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $199.53	Professional		$131.83	$154.88	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $177.83 / $177.83	Facility		$173.78	$177.83	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $186.21 / $190.55	Professional		$162.18	$186.21	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $363.08	Professional		$109.65	$162.18	$363.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $165.96 / $194.98	Facility		$128.82	$165.96	$194.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $288.40	Professional		$109.65	$162.18	$288.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $316.23	Professional		$107.15	$154.88	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $134.90 / $158.49	Facility		$125.89	$134.90	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $223.87	Professional		$114.82	$154.88	$223.87