Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.68 / $721.50 / $1,194.82	Facility		$355.68	$721.50	$1,194.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.93 / $237.37 / $327.66	Professional		$211.93	$237.37	$327.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $226.29 / $274.95	Professional		$168.00	$226.29	$274.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.31 / $348.84 / $720.89	Facility		$189.31	$348.84	$720.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $162.31 / $281.98	Professional		$125.00	$162.31	$281.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.96 / $136.96 / $136.96	Facility		$136.96	$136.96	$136.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.80 / $382.97 / $486.67	Professional		$256.80	$382.97	$486.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $237.35 / $266.18 / $398.75	Facility		$237.35	$266.18	$398.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $294.18	Professional		$30.00	$30.00	$294.18
United Facility/Professional Professional Modifier Low / Median / High Price $124.33 / $186.50 / $339.45	Professional		$124.33	$186.50	$339.45