Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.56 / $104.58 / $104.58	Facility		$103.56	$104.58	$104.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.39 / $100.36 / $112.42	Professional		$86.39	$100.36	$112.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.39 / $97.39 / $97.39	Professional		$97.39	$97.39	$97.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.37 / $155.37 / $155.37	Facility		$155.37	$155.37	$155.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.24 / $163.13 / $194.21	Professional		$141.24	$163.13	$194.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.31 / $118.31 / $118.31	Facility		$118.31	$118.31	$118.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.85 / $92.85 / $146.21	Professional		$92.85	$92.85	$146.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $103.56 / $104.59 / $120.27	Facility		$103.56	$104.59	$120.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $94.82 / $104.59 / $148.33	Professional		$94.82	$104.59	$148.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $101.47 / $145.74	Professional		$81.79	$101.47	$145.74
United Facility/Professional Professional Modifier Low / Median / High Price $98.74 / $120.68 / $171.91	Professional		$98.74	$120.68	$171.91