Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.58 / $90.80 / $148.05	Facility		$48.58	$90.80	$148.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $57.51 / $63.26	Professional		$55.00	$57.51	$63.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.80 / $125.42 / $238.99	Facility		$66.80	$125.42	$238.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.66 / $60.93 / $79.09	Professional		$55.66	$60.93	$79.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.06 / $57.51 / $64.77	Professional		$54.06	$57.51	$64.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $53.40 / $97.13 / $153.04	Facility		$53.40	$97.13	$153.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $57.51 / $69.01	Professional		$55.00	$57.51	$69.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.04 / $57.54 / $86.26	Professional		$50.04	$57.54	$86.26
United Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $61.98	Professional		$57.51	$57.51	$61.98