Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Facility		$63.75	$63.75	$63.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $63.75 / $71.72	Professional		$33.54	$63.75	$71.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.17 / $70.17 / $70.17	Professional		$70.17	$70.17	$70.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.48 / $252.47 / $479.86	Facility		$121.48	$252.47	$479.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.53 / $87.07 / $108.84	Professional		$79.53	$87.07	$108.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $34.15 / $123.35	Professional		$34.15	$34.15	$123.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $57.06 / $57.06 / $63.75	Facility		$57.06	$57.06	$63.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $57.06 / $100.46	Professional		$48.61	$57.06	$100.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.17 / $56.54 / $88.50	Professional		$49.17	$56.54	$88.50
United Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $39.32 / $59.17	Professional		$29.59	$39.32	$59.17