Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.35 / $89.54 / $243.21	Facility		$53.35	$89.54	$243.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.69 / $71.06 / $189.09	Professional		$56.69	$71.06	$189.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $69.91 / $72.83	Professional		$50.14	$69.91	$72.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.59 / $49.19 / $85.49	Facility		$34.59	$49.19	$85.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.87 / $64.80 / $102.51	Professional		$30.87	$64.80	$102.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.18 / $67.18 / $67.18	Facility		$67.18	$67.18	$67.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.26 / $83.68 / $161.18	Professional		$52.26	$83.68	$161.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $53.35 / $89.54 / $186.12	Facility		$53.35	$89.54	$186.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $54.78 / $71.06 / $123.51	Professional		$54.78	$71.06	$123.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $44.27 / $78.81	Professional		$28.23	$44.27	$78.81
United Facility/Professional Professional Modifier Low / Median / High Price $59.92 / $73.70 / $99.57	Professional		$59.92	$73.70	$99.57