Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.49 / $114.70 / $144.52	Facility		$100.49	$114.70	$144.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.17 / $101.52 / $147.55	Professional		$85.17	$101.52	$147.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.50 / $104.30 / $106.34	Professional		$101.50	$104.30	$106.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.91 / $141.91 / $533.46	Facility		$108.91	$141.91	$533.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.82 / $149.02 / $191.59	Professional		$134.82	$149.02	$191.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.85 / $116.83 / $303.50	Professional		$86.85	$116.83	$303.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $108.69 / $112.93 / $144.52	Facility		$108.69	$112.93	$144.52
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $92.73 / $112.55 / $157.41	Professional		$92.73	$112.55	$157.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $83.50 / $105.43	Professional		$30.00	$83.50	$105.43
United Facility/Professional Professional Modifier Low / Median / High Price $105.24 / $125.34 / $159.29	Professional		$105.24	$125.34	$159.29