Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $575.44 / $645.65	Facility		$158.49	$575.44	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $275.42 / $549.54	Professional		$158.49	$275.42	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $275.42	Professional		$147.91	$194.98	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $213.80 / $446.68	Professional		$190.55	$213.80	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,258.93 / $1,258.93	Facility		$794.33	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $245.47 / $371.54	Professional		$190.55	$245.47	$371.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $263.03 / $524.81	Facility		$173.78	$263.03	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $363.08	Professional		$173.78	$213.80	$363.08