Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.75 / $209.75 / $213.37	Facility		$209.75	$209.75	$213.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.04 / $209.75 / $315.10	Professional		$186.04	$209.75	$315.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.34 / $271.81 / $340.24	Professional		$204.34	$271.81	$340.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,577.48 / $2,867.21 / $4,635.57	Facility		$1,577.48	$2,867.21	$4,635.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.03 / $244.00 / $398.78	Professional		$193.03	$244.00	$398.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.48 / $257.52 / $402.82	Professional		$216.48	$257.52	$402.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $202.10 / $247.40 / $427.64	Facility		$202.10	$247.40	$427.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $168.19 / $226.55 / $339.21	Professional		$168.19	$226.55	$339.21
United Facility/Professional Professional Modifier Low / Median / High Price $193.50 / $222.53 / $398.38	Professional		$193.50	$222.53	$398.38