Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $354.81 / $660.69	Facility		$112.20	$354.81	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $229.09	Professional		$95.50	$131.83	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $181.97	Professional		$75.86	$89.13	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $562.34 / $954.99	Facility		$323.59	$562.34	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $239.88	Professional		$93.33	$144.54	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $102.33 / $165.96	Facility		$100.00	$102.33	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $257.04	Professional		$123.03	$169.82	$257.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $295.12	Professional		$239.88	$239.88	$295.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $165.96 / $281.84	Facility		$107.15	$165.96	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,202.26 / $3,548.13	Facility		$354.81	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $218.78	Professional		$91.20	$128.82	$218.78