Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $53.44 / $126.26	Facility		$35.00	$53.44	$126.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.01 / $87.35 / $106.08	Professional		$74.01	$87.35	$106.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.29 / $127.29 / $127.29	Professional		$127.29	$127.29	$127.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.49 / $120.49 / $1,057.97	Facility		$120.49	$120.49	$1,057.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.47 / $126.51 / $150.61	Professional		$114.47	$126.51	$150.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $87.12 / $131.97	Professional		$87.12	$87.12	$131.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $44.77 / $82.84 / $217.62	Facility		$44.77	$82.84	$217.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $74.02 / $113.20	Professional		$21.14	$74.02	$113.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00