Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $213.80 / $446.68	Professional		$177.83	$213.80	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $338.84 / $758.58	Facility		$245.47	$338.84	$758.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $363.08	Professional		$338.84	$338.84	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $616.60	Professional		$199.53	$281.84	$616.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $281.84 / $741.31	Facility		$208.93	$281.84	$741.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $363.08	Professional		$181.97	$234.42	$363.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $524.81	Professional		$186.21	$263.03	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $218.78	Facility		$199.53	$199.53	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $389.05	Professional		$213.80	$275.42	$389.05