Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.58 / $85.58 / $85.58	Facility		$85.58	$85.58	$85.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.44 / $85.58 / $85.58	Professional		$52.44	$85.58	$85.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.19 / $169.19 / $169.19	Professional		$169.19	$169.19	$169.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.37 / $203.90 / $362.58	Facility		$143.37	$203.90	$362.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.58 / $134.38 / $172.77	Professional		$121.58	$134.38	$172.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.12 / $86.12 / $86.12	Facility		$86.12	$86.12	$86.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $63.51 / $156.53	Professional		$63.51	$63.51	$156.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $85.58 / $116.23 / $116.23	Facility		$85.58	$116.23	$116.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $116.23 / $286.30	Professional		$85.58	$116.23	$286.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.15 / $148.15 / $200.00	Professional		$148.15	$148.15	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.50 / $178.51 / $294.72	Professional		$118.50	$178.51	$294.72