Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $131.83 / $131.83	Facility		$93.33	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $89.13 / $134.90	Professional		$61.66	$89.13	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $141.25	Professional		$85.11	$123.03	$141.25
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $104.71 / $104.71 / $104.71	Professional	25	$104.71	$104.71	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $147.91 / $165.96	Facility		$138.04	$147.91	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $144.54 / $158.49	Professional		$134.90	$144.54	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $125.89 / $316.23	Professional		$72.44	$125.89	$316.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $218.78 / $263.03	Facility		$89.13	$218.78	$263.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $144.54	Professional		$64.57	$93.33	$144.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $251.19	Professional		$85.11	$131.83	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $354.81 / $575.44	Facility		$229.09	$354.81	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $91.20 / $131.83	Professional		$53.70	$91.20	$131.83