Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.71 / $70.62 / $105.48	Facility		$47.71	$70.62	$105.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.78 / $54.32	Professional		$46.32	$46.78	$54.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $46.35 / $46.35	Professional		$46.35	$46.35	$46.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.81 / $101.02 / $192.49	Facility		$53.81	$101.02	$192.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.83 / $49.08 / $63.71	Professional		$44.83	$49.08	$63.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $59.96	Professional		$46.32	$46.32	$59.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $105.92 / $151.15	Facility		$46.32	$105.92	$151.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $47.71 / $60.21	Professional		$46.32	$47.71	$60.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $49.23 / $62.57	Professional		$46.32	$49.23	$62.57
United Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $46.32 / $46.32	Facility		$46.32	$46.32	$46.32
United Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $51.56 / $59.29	Professional		$46.32	$51.56	$59.29