Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.88 / $145.88 / $195.78	Facility		$145.88	$145.88	$195.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.91 / $145.88 / $367.65	Professional		$113.91	$145.88	$367.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.63 / $160.63 / $188.97	Professional		$160.63	$160.63	$188.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.65 / $208.65 / $208.65	Facility		$208.65	$208.65	$208.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.69 / $219.08 / $260.81	Professional		$189.69	$219.08	$260.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.16 / $162.16 / $162.16	Facility		$162.16	$162.16	$162.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.34 / $170.59 / $452.07	Professional		$124.34	$170.59	$452.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $139.97 / $144.58 / $187.04	Facility		$139.97	$144.58	$187.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $131.22 / $156.83 / $365.09	Professional		$131.22	$156.83	$365.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.57 / $136.59 / $196.26	Professional		$108.57	$136.59	$196.26
United Facility/Professional Facility Modifier Low / Median / High Price $190.91 / $190.91 / $190.91	Facility		$190.91	$190.91	$190.91
United Facility/Professional Professional Modifier Low / Median / High Price $135.58 / $163.59 / $212.06	Professional		$135.58	$163.59	$212.06