Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.09 / $714.76 / $1,095.81	Facility		$248.09	$714.76	$1,095.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.84 / $192.45 / $248.10	Professional		$136.84	$192.45	$248.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.76 / $166.76 / $166.76	Professional		$166.76	$166.76	$166.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $700.45 / $1,484.14 / $2,914.27	Facility		$700.45	$1,484.14	$2,914.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $471.30 / $520.91 / $620.14	Professional		$471.30	$520.91	$620.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.19 / $364.44 / $879.07	Professional		$198.19	$364.44	$879.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $431.46 / $1,095.81	Facility		$72.00	$431.46	$1,095.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $152.03 / $248.10	Professional		$72.00	$152.03	$248.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.19 / $105.80 / $144.28	Professional		$96.19	$105.80	$144.28
United Facility/Professional Professional Modifier Low / Median / High Price $141.16 / $174.32 / $349.49	Professional		$141.16	$174.32	$349.49