Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.29 / $479.29 / $479.29	Facility		$479.29	$479.29	$479.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.01 / $398.22 / $506.84	Professional		$362.01	$398.22	$506.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.25 / $370.85 / $758.76	Professional		$152.25	$370.85	$758.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $788.71 / $788.71 / $788.71	Facility		$788.71	$788.71	$788.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $749.27 / $843.54 / $985.89	Professional		$749.27	$843.54	$985.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.55 / $487.74 / $1,023.37	Professional		$342.55	$487.74	$1,023.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $355.16 / $355.16 / $479.29	Facility		$355.16	$355.16	$479.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $355.16 / $401.23 / $644.45	Professional		$355.16	$401.23	$644.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $421.97 / $575.41	Professional		$100.00	$421.97	$575.41
United Facility/Professional Professional Modifier Low / Median / High Price $341.73 / $423.21 / $638.15	Professional		$341.73	$423.21	$638.15