Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.15 / $117.15 / $117.15	Professional		$117.15	$117.15	$117.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.33 / $61.33 / $72.13	Professional		$61.33	$61.33	$72.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.92 / $99.92 / $99.92	Facility		$99.92	$99.92	$99.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.92 / $104.92 / $134.88	Professional		$94.92	$104.92	$134.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $81.48 / $283.47	Professional		$46.67	$81.48	$283.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $66.03 / $73.08 / $88.37	Professional		$66.03	$73.08	$88.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $84.42 / $84.42	Professional		$55.00	$84.42	$84.42
United Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $72.47 / $90.23	Professional		$61.40	$72.47	$90.23