Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $86.70 / $86.70	Facility		$77.62	$86.70	$86.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.07 / $75.04 / $86.70	Professional		$60.07	$75.04	$86.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.01 / $71.56 / $84.20	Professional		$68.01	$71.56	$84.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.16 / $111.55 / $111.55	Facility		$82.16	$111.55	$111.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.41 / $111.55 / $139.44	Professional		$101.41	$111.55	$139.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $88.82 / $185.91	Professional		$67.56	$88.82	$185.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $82.46 / $86.70	Facility		$77.62	$82.46	$86.70
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $82.46 / $94.82	Professional		$63.95	$82.46	$94.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $100.87 / $144.16	Professional		$81.16	$100.87	$144.16
United Facility/Professional Professional Modifier Low / Median / High Price $79.89 / $92.50 / $121.55	Professional		$79.89	$92.50	$121.55