Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $52.48 / $52.48	Professional		$50.12	$52.48	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $181.97 / $354.81	Facility		$61.66	$181.97	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $64.57	Professional		$61.66	$61.66	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $89.13	Professional		$21.38	$21.38	$89.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $52.48 / $75.86	Facility		$25.70	$52.48	$75.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $52.48 / $75.86	Professional		$25.70	$52.48	$75.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $75.86	Professional		$21.38	$21.38	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $53.70 / $63.10	Facility		$48.98	$53.70	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $35.48 / $58.88	Professional		$23.44	$35.48	$58.88