Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.00 / $409.61 / $489.03	Professional		$332.00	$409.61	$489.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $355.25 / $381.99 / $401.16	Professional		$355.25	$381.99	$401.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $280.16 / $490.00 / $683.00	Facility		$280.16	$490.00	$683.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $510.05 / $723.80	Professional		$500.00	$510.05	$723.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.71 / $468.71 / $468.71	Facility		$468.71	$468.71	$468.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.54 / $494.74 / $859.46	Professional		$362.54	$494.74	$859.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $421.37 / $675.28	Facility		$350.00	$421.37	$675.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $350.00 / $420.00	Professional		$200.00	$350.00	$420.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $294.51 / $363.37 / $621.74	Professional		$294.51	$363.37	$621.74