Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $416.87 / $645.65	Professional		$363.08	$416.87	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $416.87 / $457.09	Professional		$398.11	$416.87	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $501.19 / $1,698.24	Facility		$281.84	$501.19	$1,698.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $537.03 / $724.44	Professional		$501.19	$537.03	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $933.25	Professional		$363.08	$501.19	$933.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $501.19 / $776.25	Facility		$389.05	$501.19	$776.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
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 Professional Modifier Low / Median / High Price $302.00 / $389.05 / $630.96	Professional		$302.00	$389.05	$630.96