Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.55 / $71.00 / $71.00	Facility		$51.55	$71.00	$71.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $49.76 / $71.00	Professional		$33.93	$49.76	$71.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.78 / $60.78 / $71.50	Professional		$60.78	$60.78	$71.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.52 / $78.37 / $90.13	Facility		$70.52	$78.37	$90.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.86 / $73.18 / $95.13	Professional		$65.86	$73.18	$95.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $55.79 / $170.46	Professional		$39.93	$55.79	$170.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $44.54 / $44.54 / $71.00	Facility		$44.54	$44.54	$71.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $51.55 / $78.09	Professional		$36.22	$51.55	$78.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.80 / $67.46 / $94.57	Professional		$53.80	$67.46	$94.57
United Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $48.83 / $72.08	Professional		$41.63	$48.83	$72.08