Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.19 / $238.19 / $242.63	Facility		$238.19	$238.19	$242.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.62 / $218.85 / $261.33	Professional		$189.62	$218.85	$261.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $206.73 / $206.73 / $267.99	Professional		$206.73	$206.73	$267.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.25 / $305.39 / $599.66	Facility		$165.25	$305.39	$599.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.63 / $317.91 / $378.46	Professional		$287.63	$317.91	$378.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.39 / $323.06 / $853.17	Professional		$198.39	$323.06	$853.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $214.50 / $214.50 / $242.63	Facility		$214.50	$214.50	$242.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $201.05 / $225.82 / $278.85	Professional		$201.05	$225.82	$278.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.30 / $203.25 / $294.70	Professional		$164.30	$203.25	$294.70
United Facility/Professional Professional Modifier Low / Median / High Price $211.27 / $239.78 / $348.43	Professional		$211.27	$239.78	$348.43