Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.83 / $132.11 / $132.11	Facility		$130.83	$132.11	$132.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.26 / $130.83 / $224.15	Professional		$113.26	$130.83	$224.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.01 / $186.02 / $223.22	Professional		$124.01	$186.02	$223.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.23 / $193.71 / $463.51	Facility		$118.23	$193.71	$463.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.99 / $203.40 / $261.51	Professional		$182.99	$203.40	$261.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.41 / $149.41 / $149.41	Facility		$149.41	$149.41	$149.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $115.76 / $179.55	Professional		$115.76	$115.76	$179.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $135.10 / $135.10 / $135.10	Facility		$135.10	$135.10	$135.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $123.78 / $135.10 / $224.15	Professional		$123.78	$135.10	$224.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.54 / $136.61 / $196.61	Professional		$108.54	$136.61	$196.61
United Facility/Professional Professional Modifier Low / Median / High Price $131.09 / $157.11 / $221.10	Professional		$131.09	$157.11	$221.10