Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.54 / $137.54 / $137.54	Facility		$137.54	$137.54	$137.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.61 / $133.37 / $329.62	Professional		$103.61	$133.37	$329.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.18 / $111.18 / $111.18	Professional		$111.18	$111.18	$111.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.21 / $195.21 / $195.21	Facility		$195.21	$195.21	$195.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.12 / $204.97 / $244.01	Professional		$183.12	$204.97	$244.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $152.16 / $152.16	Facility		$152.16	$152.16	$152.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.82 / $160.83 / $416.61	Professional		$116.82	$160.83	$416.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $130.80 / $134.08 / $174.38	Facility		$130.80	$134.08	$174.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $122.43 / $137.54 / $207.01	Professional		$122.43	$137.54	$207.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.65 / $136.59 / $196.26	Professional		$108.65	$136.59	$196.26
United Facility/Professional Professional Modifier Low / Median / High Price $128.19 / $156.00 / $209.52	Professional		$128.19	$156.00	$209.52