Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.34 / $72.34 / $73.06	Facility		$72.34	$72.34	$73.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.96 / $72.34 / $116.84	Professional		$60.96	$72.34	$116.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $72.73 / $130.59	Professional		$68.75	$72.73	$130.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.60 / $102.80 / $187.24	Facility		$51.60	$102.80	$187.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.18 / $111.86 / $134.44	Professional		$102.18	$111.86	$134.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $64.28 / $64.28	Professional		$64.28	$64.28	$64.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $69.08 / $69.08 / $72.34	Facility		$69.08	$69.08	$72.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $72.34 / $122.10	Professional		$68.75	$72.34	$122.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.48 / $67.94 / $96.85	Professional		$55.48	$67.94	$96.85
United Facility/Professional Professional Modifier Low / Median / High Price $65.30 / $80.59 / $117.55	Professional		$65.30	$80.59	$117.55