Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.72 / $96.72 / $96.72	Facility		$96.72	$96.72	$96.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $96.72 / $101.55	Professional		$96.72	$96.72	$101.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Professional		$78.00	$78.00	$78.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.80 / $279.30 / $496.67	Facility		$202.80	$279.30	$496.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $187.50 / $225.00	Professional		$178.13	$187.50	$225.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.65 / $58.65 / $130.00	Professional		$58.65	$58.65	$130.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $96.72	Facility		$36.00	$36.00	$96.72
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $45.00 / $107.36	Professional		$36.00	$45.00	$107.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00