Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.19 / $235.19 / $235.19	Facility		$235.19	$235.19	$235.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.28 / $197.41 / $320.75	Professional		$166.28	$197.41	$320.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.25 / $190.27 / $366.33	Professional		$174.25	$190.27	$366.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.77 / $302.77 / $302.77	Facility		$302.77	$302.77	$302.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.25 / $322.45 / $378.46	Professional		$275.25	$322.45	$378.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.07 / $223.36 / $511.16	Professional		$166.07	$223.36	$511.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $176.80 / $176.80 / $235.19	Facility		$176.80	$176.80	$235.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $166.29 / $203.67 / $320.75	Professional		$166.29	$203.67	$320.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $196.08 / $267.34	Professional		$161.94	$196.08	$267.34
United Facility/Professional Professional Modifier Low / Median / High Price $163.34 / $207.63 / $297.83	Professional		$163.34	$207.63	$297.83