Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.76 / $126.76 / $148.01	Facility		$126.76	$126.76	$148.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.39 / $105.72 / $126.76	Professional		$88.39	$105.72	$126.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.01 / $95.01 / $95.01	Professional		$95.01	$95.01	$95.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.05 / $207.66 / $406.00	Facility		$139.05	$207.66	$406.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.34 / $153.72 / $325.69	Professional		$38.34	$153.72	$325.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.84 / $111.84 / $111.84	Facility		$111.84	$111.84	$111.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.82 / $126.98 / $232.84	Professional		$85.82	$126.98	$232.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $80.98 / $126.76 / $148.01	Facility		$80.98	$126.76	$148.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $105.70 / $161.51	Professional		$80.98	$105.70	$161.51
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 Facility Modifier Low / Median / High Price $368.12 / $368.12 / $368.12	Facility		$368.12	$368.12	$368.12
United Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $109.02 / $149.85	Professional		$89.31	$109.02	$149.85