Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $95.50 / $151.36	Facility		$70.79	$95.50	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $128.82 / $234.42	Professional		$70.79	$128.82	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $223.87	Professional		$100.00	$147.91	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $177.83	Professional		$104.71	$109.65	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $194.98 / $446.68	Professional		$102.33	$194.98	$446.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $112.20 / $154.88	Facility		$70.79	$112.20	$154.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $128.82 / $204.17	Professional		$70.79	$128.82	$204.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $169.82 / $602.56	Professional		$87.10	$169.82	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $229.09 / $281.84	Facility		$104.71	$229.09	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $138.04 / $199.53	Professional		$87.10	$138.04	$199.53