Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.39 / $474.30 / $1,219.36	Facility		$180.39	$474.30	$1,219.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.42 / $241.74 / $304.58	Professional		$215.42	$241.74	$304.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.48 / $173.48 / $173.48	Professional		$173.48	$173.48	$173.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.38 / $253.38 / $409.29	Facility		$132.38	$253.38	$409.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.27 / $284.39 / $341.28	Professional		$250.27	$284.39	$341.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.58 / $265.58 / $265.58	Facility		$265.58	$265.58	$265.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.58 / $265.58 / $265.58	Professional		$265.58	$265.58	$265.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $241.74 / $284.39 / $326.35	Facility		$241.74	$284.39	$326.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $167.90 / $209.87 / $291.51	Professional		$167.90	$209.87	$291.51
United Facility/Professional Professional Modifier Low / Median / High Price $237.13 / $260.83 / $284.39	Professional		$237.13	$260.83	$284.39