Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.47 / $202.47 / $202.47	Facility		$202.47	$202.47	$202.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.04 / $168.78 / $202.47	Professional		$78.04	$168.78	$202.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $284.86 / $284.86 / $284.86	Professional		$284.86	$284.86	$284.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $385.82 / $801.85 / $1,524.06	Facility		$385.82	$801.85	$1,524.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.60 / $276.54 / $345.67	Professional		$252.60	$276.54	$345.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.31 / $135.78 / $385.31	Professional		$131.31	$135.78	$385.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $192.15 / $192.15 / $220.97	Facility		$192.15	$192.15	$220.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $146.72 / $192.15 / $319.08	Professional		$146.72	$192.15	$319.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.31 / $144.44 / $236.35	Professional		$131.31	$144.44	$236.35
United Facility/Professional Professional Modifier Low / Median / High Price $93.97 / $124.87 / $190.30	Professional		$93.97	$124.87	$190.30