Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.61 / $189.61 / $191.47	Facility		$189.61	$189.61	$191.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.32 / $185.33 / $200.87	Professional		$154.32	$185.33	$200.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $222.56 / $222.56 / $222.56	Professional		$222.56	$222.56	$222.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $280.86 / $280.86 / $280.86	Facility		$280.86	$280.86	$280.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.82 / $294.89 / $351.08	Professional		$266.82	$294.89	$351.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.02 / $217.02 / $217.02	Facility		$217.02	$217.02	$217.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $167.84 / $260.51	Professional		$167.84	$167.84	$260.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $186.79 / $186.79 / $190.32	Facility		$186.79	$186.79	$190.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $176.73 / $189.11 / $247.42	Professional		$176.73	$189.11	$247.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.07 / $169.95 / $244.48	Professional		$136.07	$169.95	$244.48
United Facility/Professional Professional Modifier Low / Median / High Price $183.84 / $220.19 / $317.27	Professional		$183.84	$220.19	$317.27