Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.76 / $311.31 / $717.95	Facility		$177.76	$311.31	$717.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $151.47 / $348.75	Professional		$113.09	$151.47	$348.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $159.15 / $159.15 / $159.15	Professional		$159.15	$159.15	$159.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.46 / $273.70 / $475.73	Facility		$192.46	$273.70	$475.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $191.10 / $286.95	Professional		$60.65	$191.10	$286.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.22 / $175.22 / $175.22	Facility		$175.22	$175.22	$175.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.32 / $174.57 / $420.52	Professional		$88.32	$174.57	$420.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $103.21 / $209.17 / $668.12	Facility		$103.21	$209.17	$668.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $103.21 / $158.58 / $314.02	Professional		$103.21	$158.58	$314.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $120.78 / $199.65	Professional		$36.07	$120.78	$199.65
United Facility/Professional Professional Modifier Low / Median / High Price $96.73 / $157.03 / $198.35	Professional		$96.73	$157.03	$198.35