Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.92 / $588.92 / $588.92	Facility		$588.92	$588.92	$588.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.93 / $73.84 / $107.24	Professional		$65.93	$73.84	$107.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.16 / $67.91 / $99.76	Professional		$57.16	$67.91	$99.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $576.00 / $1,555.19	Facility		$334.00	$576.00	$1,555.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.93 / $127.00 / $194.60	Professional		$65.93	$127.00	$194.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $752.00 / $1,478.00	Facility		$80.95	$752.00	$1,478.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $94.26 / $172.87	Professional		$66.81	$94.26	$172.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.67 / $92.70 / $166.05	Facility		$69.67	$92.70	$166.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $150.00 / $173.37	Professional		$124.00	$150.00	$173.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $74.28 / $117.32	Professional		$54.90	$74.28	$117.32
United Facility/Professional Facility Modifier Low / Median / High Price $840.00 / $840.00 / $900.00	Facility		$840.00	$840.00	$900.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $72.13 / $114.48	Professional		$57.35	$72.13	$114.48