Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.96 / $102.05 / $128.58	Facility		$57.96	$102.05	$128.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.66 / $102.05 / $174.92	Professional		$80.66	$102.05	$174.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.93 / $83.85 / $116.88	Professional		$64.93	$83.85	$116.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.31 / $96.31 / $166.84	Facility		$69.31	$96.31	$166.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.25 / $90.38 / $154.76	Professional		$60.25	$90.38	$154.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.68 / $97.68 / $97.68	Facility		$97.68	$97.68	$97.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.40 / $115.31 / $255.16	Professional		$74.40	$115.31	$255.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $57.96 / $102.05 / $128.58	Facility		$57.96	$102.05	$128.58
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $78.33 / $102.04 / $158.97	Professional		$78.33	$102.04	$158.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $44.29 / $117.82	Professional		$28.42	$44.29	$117.82
United Facility/Professional Professional Modifier Low / Median / High Price $87.61 / $104.30 / $140.21	Professional		$87.61	$104.30	$140.21