Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $234.42 / $616.60	Facility		$162.18	$234.42	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $239.88 / $501.19	Professional		$229.09	$239.88	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $257.04	Professional		$147.91	$186.21	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $229.09 / $407.38	Facility		$77.62	$229.09	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $281.84 / $323.59	Professional		$251.19	$281.84	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $251.19 / $741.31	Facility		$173.78	$251.19	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $257.04	Facility		$245.47	$245.47	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $269.15 / $309.03	Professional		$257.04	$269.15	$309.03