Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.23 / $124.74 / $310.27	Facility		$61.23	$124.74	$310.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $55.77 / $74.27	Professional		$49.59	$55.77	$74.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.80 / $41.80 / $41.80	Professional		$41.80	$41.80	$41.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.08 / $74.20 / $134.56	Facility		$37.08	$74.20	$134.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.36 / $77.91 / $92.75	Professional		$68.36	$77.91	$92.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.74 / $78.45 / $207.18	Professional		$48.74	$78.45	$207.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $55.25 / $143.13 / $310.27	Facility		$55.25	$143.13	$310.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $50.75 / $57.95 / $77.55	Professional		$50.75	$57.95	$77.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $33.83 / $49.63	Professional		$27.68	$33.83	$49.63
United Facility/Professional Professional Modifier Low / Median / High Price $52.80 / $62.03 / $88.85	Professional		$52.80	$62.03	$88.85