Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $93.33 / $93.33	Facility		$91.20	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $95.50	Professional		$70.79	$87.10	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $69.18	Professional		$61.66	$61.66	$69.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $81.28 / $83.18	Professional		$77.62	$81.28	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $100.00	Professional		$79.43	$79.43	$100.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $218.78 / $245.47	Facility		$89.13	$218.78	$245.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $91.20 / $112.20	Professional		$79.43	$91.20	$112.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10