Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.67 / $188.51 / $392.09	Facility		$125.67	$188.51	$392.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.04 / $125.67 / $247.66	Professional		$91.04	$125.67	$247.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.22 / $103.22 / $104.55	Professional		$103.22	$103.22	$104.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.34 / $163.34 / $163.34	Facility		$163.34	$163.34	$163.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.16 / $163.34 / $220.51	Professional		$155.16	$163.34	$220.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.80 / $139.43 / $237.79	Professional		$93.80	$139.43	$237.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $78.50 / $188.51 / $875.12	Facility		$78.50	$188.51	$875.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $78.50 / $122.11 / $200.00	Professional		$78.50	$122.11	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $98.87 / $121.29	Professional		$82.15	$98.87	$121.29
United Facility/Professional Professional Modifier Low / Median / High Price $87.30 / $116.77 / $148.61	Professional		$87.30	$116.77	$148.61