Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.99 / $164.14 / $167.64	Facility		$128.99	$164.14	$167.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.34 / $136.94 / $243.74	Professional		$98.34	$136.94	$243.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.96 / $160.80 / $169.10	Professional		$155.96	$160.80	$169.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.55 / $177.27 / $708.08	Facility		$174.55	$177.27	$708.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.82 / $184.36 / $221.59	Professional		$165.82	$184.36	$221.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.98 / $162.40 / $457.43	Professional		$108.98	$162.40	$457.43
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $128.99 / $159.37 / $184.92	Facility		$128.99	$159.37	$184.92
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $123.67 / $161.16 / $219.39	Professional		$123.67	$161.16	$219.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.42 / $190.38 / $238.64	Professional		$92.42	$190.38	$238.64
United Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $171.94 / $225.48	Professional		$145.00	$171.94	$225.48