Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.63 / $312.93 / $387.60	Facility		$177.63	$312.93	$387.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.50 / $294.43 / $356.00	Professional		$247.50	$294.43	$356.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $205.87 / $205.87 / $205.87	Professional		$205.87	$205.87	$205.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.88 / $202.37 / $221.36	Facility		$178.88	$202.37	$221.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.83 / $346.40 / $415.68	Professional		$304.83	$346.40	$415.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.87 / $323.87 / $323.87	Facility		$323.87	$323.87	$323.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.87 / $323.87 / $323.87	Professional		$323.87	$323.87	$323.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $294.44 / $333.19 / $397.49	Facility		$294.44	$333.19	$397.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $220.84 / $276.05 / $355.06	Professional		$220.84	$276.05	$355.06
United Facility/Professional Professional Modifier Low / Median / High Price $289.17 / $332.55 / $347.00	Professional		$289.17	$332.55	$347.00