Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.16 / $396.95 / $396.95	Facility		$128.16	$396.95	$396.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $139.16 / $489.30	Professional		$113.09	$139.16	$489.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $235.21 / $247.66 / $269.80	Professional		$235.21	$247.66	$269.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.02 / $706.39 / $2,223.71	Facility		$241.02	$706.39	$2,223.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $139.05 / $216.22	Professional		$103.00	$139.05	$216.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.26 / $725.77 / $1,215.45	Facility		$306.26	$725.77	$1,215.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.30 / $166.51 / $300.99	Professional		$80.30	$166.51	$300.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $143.84 / $364.58	Facility		$107.00	$143.84	$364.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $187.72 / $187.72 / $570.51	Professional		$187.72	$187.72	$570.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $130.87 / $226.10	Professional		$44.14	$130.87	$226.10
United Facility/Professional Professional Modifier Low / Median / High Price $100.55 / $153.83 / $265.19	Professional		$100.55	$153.83	$265.19