Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.39 / $335.66 / $41,686.51	Facility		$266.39	$335.66	$41,686.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.63 / $261.23 / $310.37	Professional		$258.63	$261.23	$310.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $462.16 / $462.16 / $462.16	Professional		$462.16	$462.16	$462.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.89 / $553.66 / $1,054.99	Facility		$294.89	$553.66	$1,054.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.34 / $274.06 / $355.75	Professional		$250.34	$274.06	$355.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $305.00	Professional		$258.64	$258.64	$305.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $258.64 / $387.96 / $10,670.48	Facility		$258.64	$387.96	$10,670.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $266.27 / $332.84	Professional		$258.64	$266.27	$332.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $248.93 / $273.82 / $373.39	Professional		$248.93	$273.82	$373.39
United Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $287.92 / $330.08	Professional		$258.64	$287.92	$330.08