Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.87 / $348.87 / $523.30	Facility		$348.87	$348.87	$523.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.28 / $95.97 / $348.87	Professional		$74.28	$95.97	$348.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $237.55 / $267.88 / $267.88	Professional		$237.55	$267.88	$267.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $461.36 / $917.31 / $1,772.32	Facility		$461.36	$917.31	$1,772.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.52 / $328.30 / $410.38	Professional		$311.52	$328.30	$410.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.13 / $847.70 / $1,389.56	Professional		$232.13	$847.70	$1,389.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $188.36 / $348.87 / $824.21	Facility		$188.36	$348.87	$824.21
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $209.94 / $348.87	Professional		$75.15	$209.94	$348.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $244.45 / $320.37 / $391.96	Professional		$244.45	$320.37	$391.96
United Facility/Professional Professional Modifier Low / Median / High Price $73.97 / $89.55 / $140.21	Professional		$73.97	$89.55	$140.21