Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.96 / $84.88 / $126.78	Facility		$63.96	$84.88	$126.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.72 / $68.98	Professional		$62.10	$62.72	$68.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.39 / $63.39 / $117.69	Professional		$63.39	$63.39	$117.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.08 / $127.40 / $258.04	Facility		$66.08	$127.40	$258.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.10 / $65.79 / $85.40	Professional		$60.10	$65.79	$85.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $79.09	Professional		$62.10	$62.10	$79.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $126.78 / $181.67	Facility		$62.10	$126.78	$181.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $63.96 / $77.62	Professional		$62.10	$63.96	$77.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $69.28 / $94.48	Professional		$62.10	$69.28	$94.48
United Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $69.13 / $79.50	Professional		$62.10	$69.13	$79.50