Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.96 / $132.49 / $165.56	Facility		$119.96	$132.49	$165.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.15 / $134.72 / $208.60	Professional		$105.15	$134.72	$208.60
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $261.39 / $261.39 / $424.00	Professional	25	$261.39	$261.39	$424.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.72 / $212.85 / $212.85	Professional		$163.72	$212.85	$212.85
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $158.22 / $158.22 / $299.30	Professional	25	$158.22	$158.22	$299.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.71 / $193.71 / $193.71	Facility		$193.71	$193.71	$193.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.02 / $203.40 / $242.14	Professional		$184.02	$203.40	$242.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $234.32	Professional		$147.90	$147.90	$234.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $119.96 / $132.49 / $165.56	Facility		$119.96	$132.49	$165.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $124.67 / $160.62 / $250.50	Professional		$124.67	$160.62	$250.50
Health Alliance Plan Facility/Professional Professional Modifier 25 Low / Median / High Price $261.39 / $261.39 / $424.00	Professional	25	$261.39	$261.39	$424.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.75 / $168.88 / $241.67	Professional		$136.75	$168.88	$241.67
United Facility/Professional Professional Modifier Low / Median / High Price $109.96 / $168.57 / $227.51	Professional		$109.96	$168.57	$227.51