Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.71 / $140.76 / $1,574.40	Facility		$111.71	$140.76	$1,574.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $110.38 / $132.22	Professional		$108.47	$110.38	$132.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $279.25 / $279.25 / $279.25	Professional		$279.25	$279.25	$279.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $236.57 / $450.77	Facility		$126.00	$236.57	$450.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.88 / $53.51 / $69.45	Professional		$48.88	$53.51	$69.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $194.64	Professional		$108.47	$108.47	$194.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $109.28 / $219.49 / $1,574.40	Facility		$109.28	$219.49	$1,574.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $111.72 / $141.01	Professional		$108.47	$111.72	$141.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $136.60 / $196.70	Professional		$108.47	$136.60	$196.70
United Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $120.75 / $138.86	Professional		$108.47	$120.75	$138.86