Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $37.15 / $52.48	Professional		$26.92	$37.15	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $177.83 / $338.84	Facility		$58.88	$177.83	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $61.66	Professional		$58.88	$58.88	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $87.10	Professional		$31.62	$31.62	$87.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $74.13 / $204.17	Facility		$44.67	$74.13	$204.17
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $60.26 / $91.20	Professional		$33.88	$60.26	$91.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $72.44	Professional		$31.62	$31.62	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.18 / $46.77	Professional		$20.42	$28.18	$46.77