Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.82 / $208.82 / $212.77	Facility		$208.82	$208.82	$212.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.68 / $205.06 / $251.71	Professional		$187.68	$205.06	$251.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $193.06 / $203.73 / $287.64	Professional		$193.06	$203.73	$287.64
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 $193.06 / $245.00 / $398.23	Professional		$193.06	$245.00	$398.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.74 / $258.37 / $402.15	Professional		$217.74	$258.37	$402.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $201.21 / $249.36 / $425.75	Facility		$201.21	$249.36	$425.75
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 $195.04 / $236.25 / $444.39	Professional		$195.04	$236.25	$444.39