Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.45 / $147.27 / $187.12	Facility		$110.45	$147.27	$187.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.95 / $122.50 / $154.15	Professional		$98.95	$122.50	$154.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.87 / $130.54 / $130.54	Professional		$92.87	$130.54	$130.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.18 / $180.27 / $194.76	Facility		$156.18	$180.27	$194.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.18 / $183.74 / $225.34	Professional		$156.18	$183.74	$225.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $136.00 / $507.87	Professional		$101.00	$136.00	$507.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $125.18 / $147.27 / $187.12	Facility		$125.18	$147.27	$187.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $101.67 / $126.31 / $156.65	Professional		$101.67	$126.31	$156.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.65 / $134.41 / $194.64	Professional		$108.65	$134.41	$194.64
United Facility/Professional Professional Modifier Low / Median / High Price $122.93 / $154.08 / $203.69	Professional		$122.93	$154.08	$203.69