Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $406.81 / $452.79	Facility		$45.89	$406.81	$452.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $48.18 / $68.72	Professional		$37.35	$48.18	$68.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.53 / $38.53 / $38.53	Professional		$38.53	$38.53	$38.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.48 / $87.88 / $172.57	Facility		$41.48	$87.88	$172.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $57.27 / $71.59	Professional		$9.78	$57.27	$71.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.12 / $67.75 / $182.66	Professional		$41.12	$67.75	$182.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $55.90 / $448.58 / $452.79	Facility		$55.90	$448.58	$452.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $41.52 / $55.90 / $86.00	Professional		$41.52	$55.90	$86.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $67.88 / $97.88	Professional		$54.60	$67.88	$97.88
United Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $60.87 / $81.87	Professional		$49.72	$60.87	$81.87