Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.91 / $108.91 / $109.98	Facility		$108.91	$108.91	$109.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.10 / $108.91 / $115.47	Professional		$89.10	$108.91	$115.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.45 / $91.45 / $93.05	Professional		$91.45	$91.45	$93.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.38 / $161.34 / $432.89	Facility		$88.38	$161.34	$432.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.68 / $169.41 / $201.68	Professional		$146.68	$169.41	$201.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $96.42 / $150.97	Professional		$96.42	$96.42	$150.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $104.51 / $104.51 / $120.18	Facility		$104.51	$104.51	$120.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $104.51 / $107.76 / $150.61	Professional		$104.51	$107.76	$150.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $101.47 / $145.74	Professional		$82.15	$101.47	$145.74
United Facility/Professional Professional Modifier Low / Median / High Price $105.10 / $125.84 / $182.68	Professional		$105.10	$125.84	$182.68