Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.16 / $638.37 / $656.66	Facility		$521.16	$638.37	$656.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.74 / $476.71 / $528.20	Professional		$418.74	$476.71	$528.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $1,350.00	Professional		$1,350.00	$1,350.00	$1,350.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.08 / $871.02 / $1,710.33	Facility		$411.08	$871.02	$1,710.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.60 / $305.72 / $363.95	Professional		$276.60	$305.72	$363.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.77 / $852.93 / $2,301.25	Professional		$346.77	$852.93	$2,301.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $521.16 / $656.66	Facility		$300.00	$521.16	$656.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $444.72 / $547.21	Professional		$300.00	$444.72	$547.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $251.33 / $276.46 / $376.99	Professional		$251.33	$276.46	$376.99
United Facility/Professional Professional Modifier Low / Median / High Price $456.06 / $524.79 / $739.56	Professional		$456.06	$524.79	$739.56