Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $154.88 / $218.78	Professional		$83.18	$154.88	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $562.34 / $977.24	Facility		$309.03	$562.34	$977.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $251.19	Professional		$117.49	$165.96	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $288.40	Professional		$165.96	$245.47	$288.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $169.82 / $302.00	Facility		$102.33	$169.82	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $54.95	Professional		$30.20	$30.20	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,380.38	Facility		$912.01	$1,047.13	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $234.42	Professional		$79.43	$112.20	$234.42