Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.45 / $411.31 / $578.52	Facility		$269.45	$411.31	$578.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.08 / $219.81 / $276.97	Professional		$187.08	$219.81	$276.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.19 / $151.19 / $151.19	Professional		$151.19	$151.19	$151.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $36.40 / $36.40	Facility		$36.40	$36.40	$36.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.08 / $194.41 / $233.29	Professional		$171.08	$194.41	$233.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.37 / $241.37 / $241.37	Facility		$241.37	$241.37	$241.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.37 / $241.37 / $241.37	Professional		$241.37	$241.37	$241.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $219.82 / $258.61 / $296.76	Facility		$219.82	$258.61	$296.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $177.36 / $265.07	Professional		$141.88	$177.36	$265.07
United Facility/Professional Professional Modifier Low / Median / High Price $215.51 / $215.51 / $258.61	Professional		$215.51	$215.51	$258.61