Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $702.87 / $894.57	Facility		$270.00	$702.87	$894.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.40 / $253.75 / $303.54	Professional		$228.40	$253.75	$303.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $305.49 / $305.49 / $375.00	Professional		$305.49	$305.49	$375.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.54 / $437.63 / $859.34	Facility		$206.54	$437.63	$859.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.97 / $153.60 / $182.86	Professional		$138.97	$153.60	$182.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.34 / $423.14 / $1,141.65	Professional		$190.34	$423.14	$1,141.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $702.87 / $1,046.68	Facility		$270.00	$702.87	$1,046.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $231.06 / $307.58	Professional		$33.60	$231.06	$307.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.01 / $137.51 / $187.51	Professional		$125.01	$137.51	$187.51
United Facility/Professional Professional Modifier Low / Median / High Price $230.63 / $267.87 / $370.08	Professional		$230.63	$267.87	$370.08