Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.81 / $105.05 / $252.13	Facility		$80.81	$105.05	$252.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.79 / $94.94	Professional		$79.00	$79.79	$94.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.25 / $90.25 / $90.25	Professional		$90.25	$90.25	$90.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.76 / $172.28 / $328.28	Facility		$91.76	$172.28	$328.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $83.70 / $108.65	Professional		$76.45	$83.70	$108.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $93.16	Professional		$79.00	$79.00	$93.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $141.41 / $224.85	Facility		$79.00	$141.41	$224.85
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.79 / $102.70	Professional		$79.00	$79.79	$102.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $82.73 / $112.81	Professional		$75.20	$82.73	$112.81
United Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $87.94 / $97.97	Professional		$79.00	$87.94	$97.97