Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.86 / $96.09 / $96.10	Facility		$92.86	$96.09	$96.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $96.10 / $171.65	Professional		$69.12	$96.10	$171.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.58 / $92.40 / $97.37	Professional		$70.58	$92.40	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $20.93 / $20.93	Professional		$20.93	$20.93	$20.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $52.71 / $64.80 / $96.09	Facility		$52.71	$64.80	$96.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $71.59 / $110.16	Professional		$52.71	$71.59	$110.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00