Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.04 / $124.56 / $259.08	Facility		$83.04	$124.56	$259.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $72.97 / $111.76	Professional		$62.28	$72.97	$111.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.72 / $66.72 / $70.59	Professional		$66.72	$66.72	$70.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.57 / $105.57 / $105.57	Facility		$105.57	$105.57	$105.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.29 / $105.57 / $142.52	Professional		$100.29	$105.57	$142.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $106.47 / $155.94	Professional		$63.51	$106.47	$155.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $124.56 / $558.00	Facility		$57.32	$124.56	$558.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $57.32 / $69.75 / $118.57	Professional		$57.32	$69.75	$118.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $65.89 / $80.86	Professional		$54.60	$65.89	$80.86
United Facility/Professional Facility Modifier Low / Median / High Price $77.23 / $77.23 / $77.23	Facility		$77.23	$77.23	$77.23
United Facility/Professional Professional Modifier Low / Median / High Price $64.50 / $82.18 / $109.62	Professional		$64.50	$82.18	$109.62