Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.98 / $466.98 / $475.13	Facility		$466.98	$466.98	$475.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.83 / $434.70 / $478.64	Professional		$364.83	$434.70	$478.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.87 / $398.87 / $398.87	Professional		$398.87	$398.87	$398.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $320.83 / $594.09 / $1,164.22	Facility		$320.83	$594.09	$1,164.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $564.39 / $623.79 / $742.61	Professional		$564.39	$623.79	$742.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.68 / $631.96 / $1,668.94	Professional		$389.68	$631.96	$1,668.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $420.40 / $420.40 / $475.13	Facility		$420.40	$420.40	$475.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $393.95 / $462.44 / $554.73	Professional		$393.95	$462.44	$554.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $352.39 / $442.69 / $645.54	Professional		$352.39	$442.69	$645.54
United Facility/Professional Professional Modifier Low / Median / High Price $405.59 / $469.63 / $682.59	Professional		$405.59	$469.63	$682.59