Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.28 / $84.32 / $125.94	Facility		$63.28	$84.32	$125.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $63.28 / $73.72	Professional		$61.44	$63.28	$73.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.07 / $114.07 / $114.07	Professional		$114.07	$114.07	$114.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.38 / $126.05 / $255.30	Facility		$65.38	$126.05	$255.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.46 / $65.09 / $84.50	Professional		$59.46	$65.09	$84.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $81.39	Professional		$61.44	$61.44	$81.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $113.51 / $180.47	Facility		$61.44	$113.51	$180.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $63.28 / $79.87	Professional		$61.44	$63.28	$79.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $69.21 / $92.16	Professional		$61.44	$69.21	$92.16
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $68.40 / $76.20	Professional		$61.44	$68.40	$76.20