Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.86 / $329.94 / $439.92	Facility		$247.86	$329.94	$439.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.79 / $330.48 / $439.92	Professional		$245.79	$330.48	$439.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $317.33 / $317.33 / $373.34	Professional		$317.33	$317.33	$373.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $608.03 / $608.03 / $665.41	Facility		$608.03	$608.03	$665.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $491.83 / $632.35 / $760.04	Professional		$491.83	$632.35	$760.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.11 / $418.11 / $573.17	Professional		$418.11	$418.11	$573.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $280.91 / $400.62 / $460.71	Facility		$280.91	$400.62	$460.71
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $247.86 / $400.62 / $523.59	Professional		$247.86	$400.62	$523.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $377.55 / $474.58 / $679.40	Professional		$377.55	$474.58	$679.40
United Facility/Professional Professional Modifier Low / Median / High Price $392.57 / $454.55 / $658.28	Professional		$392.57	$454.55	$658.28