Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.67 / $95.34 / $113.23	Facility		$75.67	$95.34	$113.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.89 / $77.01 / $109.51	Professional		$63.89	$77.01	$109.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.90 / $82.04 / $82.04	Professional		$78.90	$82.04	$82.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.06 / $105.08 / $446.03	Facility		$91.06	$105.08	$446.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.83 / $110.33 / $141.86	Professional		$99.83	$110.33	$141.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $94.02 / $246.46	Professional		$66.34	$94.02	$246.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $84.75 / $95.34 / $113.23	Facility		$84.75	$95.34	$113.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $69.68 / $84.97 / $118.40	Professional		$69.68	$84.97	$118.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.81 / $81.79	Professional		$30.00	$55.81	$81.79
United Facility/Professional Professional Modifier Low / Median / High Price $82.98 / $96.67 / $125.89	Professional		$82.98	$96.67	$125.89