Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.14 / $281.97 / $281.97	Facility		$277.14	$281.97	$281.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.06 / $236.49 / $286.77	Professional		$211.06	$236.49	$286.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $187.54 / $209.13	Professional		$150.00	$187.54	$209.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.11 / $206.30 / $206.30	Facility		$205.11	$206.30	$206.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.85 / $216.62 / $266.64	Professional		$194.85	$216.62	$266.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $324.76 / $451.64	Professional		$65.81	$324.76	$451.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $202.83 / $202.83 / $281.97	Facility		$202.83	$202.83	$281.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $202.83 / $235.56 / $286.77	Professional		$202.83	$235.56	$286.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $207.49 / $207.49	Professional		$207.49	$207.49	$207.49