Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.60 / $134.32 / $179.67	Professional		$103.60	$134.32	$179.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.87 / $146.87 / $146.87	Professional		$146.87	$146.87	$146.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $154.69 / $219.83	Professional		$30.94	$154.69	$219.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $148.66 / $219.91	Professional		$75.03	$148.66	$219.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $130.35 / $139.49 / $217.23	Professional		$130.35	$139.49	$217.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.03 / $120.26 / $174.43	Professional		$89.03	$120.26	$174.43
United Facility/Professional Professional Modifier Low / Median / High Price $143.43 / $170.08 / $221.15	Professional		$143.43	$170.08	$221.15