Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $67.61	Professional		$25.70	$33.88	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $48.98	Professional		$33.11	$33.11	$48.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $162.18 / $323.59	Facility		$60.26	$162.18	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $63.10	Professional		$60.26	$60.26	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $79.43	Professional		$30.90	$30.90	$79.43
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $34.67 / $74.13	Facility		$25.70	$34.67	$74.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $61.66	Professional		$25.70	$33.11	$61.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $75.86	Professional		$30.90	$30.90	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $43.65	Professional		$19.95	$28.18	$43.65