Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $575.44 / $954.99	Facility		$141.25	$575.44	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $295.12	Professional		$138.04	$173.78	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $269.15 / $416.87	Professional		$218.78	$269.15	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $346.74 / $588.84	Facility		$186.21	$346.74	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $288.40 / $354.81	Professional		$120.23	$288.40	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $912.01 / $1,318.26	Facility		$263.03	$912.01	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $331.13	Professional		$131.83	$218.78	$331.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $190.55 / $478.63	Facility		$117.49	$190.55	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $169.82 / $275.42	Professional		$147.91	$169.82	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,862.09 / $2,454.71	Facility		$1,621.81	$1,862.09	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $363.08	Professional		$162.18	$208.93	$363.08