Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.74 / $182.74 / $184.97	Facility		$182.74	$182.74	$184.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $166.11 / $202.90	Professional		$147.91	$166.11	$202.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.86 / $206.48 / $301.27	Professional		$172.86	$206.48	$301.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.16 / $236.86 / $465.10	Facility		$128.16	$236.86	$465.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.72 / $248.38 / $295.69	Professional		$224.72	$248.38	$295.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.16 / $249.93 / $664.70	Professional		$155.16	$249.93	$664.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $161.58 / $161.58 / $184.97	Facility		$161.58	$161.58	$184.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $152.86 / $180.96 / $233.04	Professional		$152.86	$180.96	$233.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.95 / $169.21 / $245.14	Professional		$136.95	$169.21	$245.14
United Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $183.19 / $262.91	Professional		$156.00	$183.19	$262.91