Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $85.11 / $85.11	Facility		$77.62	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $95.50	Professional		$58.88	$70.79	$95.50
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $229.09 / $229.09 / $229.09	Professional	25	$229.09	$229.09	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $87.10	Professional		$63.10	$79.43	$87.10
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $75.86 / $75.86 / $75.86	Professional	25	$75.86	$75.86	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $112.20 / $117.49	Professional		$107.15	$112.20	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $107.15 / $194.98	Professional		$69.18	$107.15	$194.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $204.17 / $239.88	Facility		$77.62	$204.17	$239.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $107.15	Professional		$60.26	$77.62	$107.15
Health Alliance Plan Facility/Professional Professional Modifier 25 Low / Median / High Price $229.09 / $229.09 / $229.09	Professional	25	$229.09	$229.09	$229.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $154.88	Professional		$69.18	$109.65	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $120.23	Professional		$75.86	$93.33	$120.23