Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.61 / $98.61 / $333.35	Facility		$98.61	$98.61	$333.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $98.61 / $249.69	Professional		$76.50	$98.61	$249.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $79.73 / $79.73	Professional		$79.73	$79.73	$79.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.24 / $62.31 / $134.57	Facility		$31.24	$62.31	$134.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.95 / $134.57 / $181.67	Professional		$92.95	$134.57	$181.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.04 / $101.36 / $315.81	Professional		$84.04	$101.36	$315.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $91.58 / $91.58 / $333.35	Facility		$91.58	$91.58	$333.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $98.61 / $277.86	Professional		$86.70	$98.61	$277.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $68.38 / $97.03	Professional		$55.15	$68.38	$97.03
United Facility/Professional Professional Modifier Low / Median / High Price $85.66 / $102.20 / $152.94	Professional		$85.66	$102.20	$152.94