Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.51 / $99.51 / $111.36	Facility		$99.51	$99.51	$111.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.25 / $90.38 / $111.36	Professional		$71.25	$90.38	$111.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.60 / $100.60 / $100.60	Professional		$100.60	$100.60	$100.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.29 / $98.08 / $98.08	Facility		$90.29	$98.08	$98.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.78 / $102.00 / $132.41	Professional		$85.78	$102.00	$132.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.43 / $144.49 / $308.60	Professional		$91.43	$144.49	$308.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $76.67 / $76.67 / $111.36	Facility		$76.67	$76.67	$111.36
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $76.67 / $95.74 / $114.40	Professional		$76.67	$95.74	$114.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $100.87 / $145.50	Professional		$82.15	$100.87	$145.50
United Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $104.06 / $144.77	Professional		$81.56	$104.06	$144.77