Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.17 / $1,099.47 / $1,099.47	Facility		$458.17	$1,099.47	$1,099.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.25 / $453.34 / $507.29	Professional		$396.25	$453.34	$507.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $720.00 / $720.00	Professional		$720.00	$720.00	$720.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $320.02 / $584.01 / $940.62	Facility		$320.02	$584.01	$940.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.06 / $690.00 / $998.84	Professional		$455.06	$690.00	$998.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.20 / $275.20 / $275.20	Facility		$275.20	$275.20	$275.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.23 / $697.80 / $939.46	Professional		$481.23	$697.80	$939.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $432.50 / $513.84 / $763.97	Facility		$432.50	$513.84	$763.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $591.58	Professional		$30.00	$30.00	$591.58
United Facility/Professional Professional Modifier Low / Median / High Price $233.42 / $351.17 / $648.89	Professional		$233.42	$351.17	$648.89