Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.31 / $133.83 / $133.83	Facility		$93.31	$133.83	$133.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.71 / $92.65 / $133.83	Professional		$63.71	$92.65	$133.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.87 / $113.80 / $133.88	Professional		$89.87	$113.80	$133.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.65 / $145.55 / $167.38	Facility		$131.65	$145.55	$167.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.26 / $139.18 / $180.93	Professional		$125.26	$139.18	$180.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $105.36 / $313.24	Professional		$72.31	$105.36	$313.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $88.74 / $88.74 / $133.83	Facility		$88.74	$88.74	$133.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $93.31 / $146.16	Professional		$71.20	$93.31	$146.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.33 / $133.96 / $189.15	Professional		$107.33	$133.96	$189.15
United Facility/Professional Professional Modifier Low / Median / High Price $56.54 / $100.78 / $138.80	Professional		$56.54	$100.78	$138.80