Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $95.50 / $186.21	Facility		$75.86	$95.50	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $173.78	Professional		$61.66	$79.43	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $79.43 / $89.13	Professional		$66.07	$79.43	$89.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $112.20 / $134.90	Professional		$104.71	$112.20	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $194.98	Professional		$67.61	$93.33	$194.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $95.50 / $186.21	Facility		$85.11	$95.50	$186.21
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $134.90	Professional		$61.66	$83.18	$134.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $177.83	Professional		$63.10	$87.10	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $81.28 / $102.33	Facility		$70.79	$81.28	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $128.82	Professional		$69.18	$89.13	$128.82