Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $114.82 / $144.54	Facility		$109.65	$114.82	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $251.19	Professional		$81.28	$102.33	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $91.20 / $102.33	Professional		$81.28	$91.20	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $151.36 / $173.78	Professional		$141.25	$151.36	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $239.88	Professional		$87.10	$117.49	$239.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $117.49 / $199.53	Facility		$109.65	$117.49	$199.53
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $181.97	Professional		$83.18	$107.15	$181.97
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $218.78	Professional		$83.18	$107.15	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $104.71 / $128.82	Facility		$91.20	$104.71	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $165.96	Professional		$93.33	$117.49	$165.96