Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $79.43 / $309.03	Facility		$25.70	$79.43	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.12 / $37.15	Professional		$23.99	$25.12	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $54.95 / $109.65	Facility		$28.84	$54.95	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $24.55 / $25.70	Professional		$23.44	$24.55	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $28.18	Professional		$25.12	$25.12	$28.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $70.79 / $269.15	Facility		$25.12	$70.79	$269.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.12 / $34.67	Professional		$23.99	$25.12	$34.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $28.18	Professional		$25.12	$25.12	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $25.12 / $54.95	Facility		$24.55	$25.12	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $26.30 / $30.90	Professional		$24.55	$26.30	$30.90