Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.58 / $68.58 / $120.02	Facility		$68.58	$68.58	$120.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.18 / $52.83 / $68.58	Professional		$52.18	$52.83	$68.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $45.12 / $45.12	Professional		$45.12	$45.12	$45.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.44 / $81.65 / $143.41	Facility		$56.44	$81.65	$143.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $54.14 / $73.09	Professional		$36.82	$54.14	$73.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.09 / $83.01 / $103.77	Professional		$39.09	$83.01	$103.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $68.58 / $69.30 / $126.02	Facility		$68.58	$69.30	$126.02
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $52.57 / $69.30 / $86.62	Professional		$52.57	$69.30	$86.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.79 / $59.77 / $80.68	Professional		$53.79	$59.77	$80.68
United Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $43.31 / $45.91	Professional		$30.32	$43.31	$45.91