Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $389.05	Professional		$104.71	$134.90	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $204.17 / $208.93	Professional		$194.98	$204.17	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $338.84	Professional		$112.20	$162.18	$338.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $134.90 / $354.81	Facility		$120.23	$134.90	$354.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $338.84	Professional		$104.71	$138.04	$338.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $302.00	Professional		$107.15	$147.91	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $120.23	Facility		$114.82	$114.82	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $213.80	Professional		$125.89	$154.88	$213.80