Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.24 / $238.24 / $371.65	Facility		$238.24	$238.24	$371.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.64 / $238.24 / $238.24	Professional		$205.64	$238.24	$238.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $238.24 / $238.24 / $238.24	Professional		$238.24	$238.24	$238.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.69 / $178.69 / $188.09	Facility		$178.69	$178.69	$188.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.90 / $188.09 / $188.09	Professional		$127.90	$188.09	$188.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.78 / $305.62 / $382.03	Professional		$250.78	$305.62	$382.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $226.33 / $238.24 / $437.77	Facility		$226.33	$238.24	$437.77
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $238.24 / $249.04 / $313.47	Professional		$238.24	$249.04	$313.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $186.87 / $207.64 / $280.31	Professional		$186.87	$207.64	$280.31
United Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $127.40 / $212.34	Professional		$89.18	$127.40	$212.34