Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.77 / $208.56 / $208.56	Facility		$86.77	$208.56	$208.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.62 / $83.50 / $231.36	Professional		$68.62	$83.50	$231.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.58 / $61.58 / $61.58	Professional		$61.58	$61.58	$61.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.18 / $64.26 / $111.69	Facility		$45.18	$64.26	$111.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.34 / $104.07 / $131.46	Professional		$40.34	$104.07	$131.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.14 / $83.14 / $83.14	Facility		$83.14	$83.14	$83.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.24 / $93.89 / $199.00	Professional		$63.24	$93.89	$199.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $64.84 / $88.33 / $208.56	Facility		$64.84	$88.33	$208.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $80.55 / $139.60	Professional		$64.84	$80.55	$139.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $44.34 / $78.81	Professional		$28.42	$44.34	$78.81
United Facility/Professional Professional Modifier Low / Median / High Price $72.89 / $86.74 / $119.64	Professional		$72.89	$86.74	$119.64