Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.74 / $299.74 / $299.74	Facility		$299.74	$299.74	$299.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.74 / $300.00 / $454.77	Professional		$299.74	$300.00	$454.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $828.00 / $828.00 / $828.00	Professional		$828.00	$828.00	$828.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.89 / $105.89 / $105.89	Facility		$105.89	$105.89	$105.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.60 / $111.18 / $132.36	Professional		$100.60	$111.18	$132.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.96 / $669.64 / $1,518.64	Professional		$479.96	$669.64	$1,518.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $163.68 / $163.68 / $299.74	Facility		$163.68	$163.68	$299.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $163.68 / $295.76 / $1,735.80	Professional		$163.68	$295.76	$1,735.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00