Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $35.90 / $35.92	Facility		$35.90	$35.90	$35.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $44.90	Professional		$35.92	$35.92	$44.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $46.70 / $46.70	Professional		$35.92	$46.70	$46.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $105.57 / $185.42	Facility		$75.70	$105.57	$185.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.50 / $70.00 / $74.90	Professional		$66.50	$70.00	$74.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $35.92 / $44.90	Professional		$35.90	$35.92	$44.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $35.90 / $56.04	Facility		$35.90	$35.90	$56.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $44.90	Professional		$35.92	$35.92	$44.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $30.00 / $53.53	Professional		$29.74	$30.00	$53.53
United Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $21.55 / $35.92	Professional		$15.08	$21.55	$35.92