Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.84 / $47.89 / $107.03	Facility		$36.84	$47.89	$107.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $75.55 / $115.17	Professional		$29.65	$75.55	$115.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.62 / $147.62 / $147.62	Professional		$147.62	$147.62	$147.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.46 / $286.37 / $541.73	Facility		$153.46	$286.37	$541.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.68 / $44.96 / $57.81	Professional		$40.68	$44.96	$57.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.07 / $79.14 / $201.19	Professional		$30.07	$79.14	$201.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $38.26 / $82.24 / $107.03	Facility		$38.26	$82.24	$107.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $82.24 / $130.65	Professional		$31.53	$82.24	$130.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.10 / $101.32 / $147.23	Professional		$81.10	$101.32	$147.23
United Facility/Professional Professional Modifier Low / Median / High Price $76.52 / $91.86 / $139.16	Professional		$76.52	$91.86	$139.16