Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.47 / $133.84 / $160.19	Professional		$93.47	$133.84	$160.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.70 / $113.70 / $255.60	Professional		$113.70	$113.70	$255.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.71 / $185.62 / $220.98	Professional		$160.71	$185.62	$220.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.28 / $164.45 / $519.70	Professional		$123.28	$164.45	$519.70
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $104.88 / $125.73 / $168.52	Professional		$104.88	$125.73	$168.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.09 / $132.62 / $189.55	Professional		$106.09	$132.62	$189.55
United Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $133.22 / $187.36	Professional		$108.31	$133.22	$187.36