Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.95 / $84.55 / $84.55	Facility		$76.95	$84.55	$84.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $73.78 / $87.93	Professional		$61.09	$73.78	$87.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.37 / $83.37 / $83.37	Professional		$83.37	$83.37	$83.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.87 / $111.05 / $111.05	Facility		$80.87	$111.05	$111.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.95 / $111.05 / $138.81	Professional		$99.95	$111.05	$138.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $89.35 / $156.65	Professional		$70.70	$89.35	$156.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $76.95 / $82.04 / $84.55	Facility		$76.95	$82.04	$84.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $65.29 / $80.80 / $93.22	Professional		$65.29	$80.80	$93.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.66 / $67.28 / $94.57	Professional		$53.66	$67.28	$94.57
United Facility/Professional Professional Modifier Low / Median / High Price $82.63 / $95.68 / $118.74	Professional		$82.63	$95.68	$118.74