Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.72 / $65.89 / $70.08	Facility		$46.72	$65.89	$70.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.40 / $46.72 / $65.89	Professional		$31.40	$46.72	$65.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $87.00 / $87.00	Professional		$87.00	$87.00	$87.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.29 / $52.29 / $52.29	Facility		$52.29	$52.29	$52.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $54.90 / $65.36	Professional		$47.53	$54.90	$65.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $66.06 / $174.10	Professional		$40.93	$66.06	$174.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $50.76 / $65.89 / $110.38	Facility		$50.76	$65.89	$110.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $40.56 / $50.76 / $66.59	Professional		$40.56	$50.76	$66.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $67.46 / $95.36	Professional		$54.30	$67.46	$95.36
United Facility/Professional Professional Modifier Low / Median / High Price $48.70 / $60.76 / $83.65	Professional		$48.70	$60.76	$83.65