Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.76 / $96.76 / $96.76	Facility		$96.76	$96.76	$96.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.17 / $96.76 / $96.76	Professional		$58.17	$96.76	$96.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.34 / $168.46 / $322.08	Facility		$103.34	$168.46	$322.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.34 / $126.36 / $270.30	Professional		$38.34	$126.36	$270.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.46 / $92.46 / $92.46	Facility		$92.46	$92.46	$92.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $108.45 / $177.00	Professional		$65.31	$108.45	$177.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $60.34 / $60.34 / $96.76	Facility		$60.34	$60.34	$96.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $84.18 / $133.87	Professional		$60.34	$84.18	$133.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $76.59 / $117.12	Professional		$34.95	$76.59	$117.12
United Facility/Professional Professional Modifier Low / Median / High Price $76.26 / $88.55 / $125.83	Professional		$76.26	$88.55	$125.83