Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.45 / $322.45 / $327.73	Facility		$322.45	$322.45	$327.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.88 / $317.38 / $380.50	Professional		$290.88	$317.38	$380.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $297.43 / $314.64 / $535.37	Professional		$297.43	$314.64	$535.37
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 $297.43 / $380.00 / $608.55	Professional		$297.43	$380.00	$608.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.55 / $400.65 / $623.61	Professional		$336.55	$400.65	$623.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $311.39 / $386.44 / $660.01	Facility		$311.39	$386.44	$660.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $252.28 / $339.83 / $508.81	Professional		$252.28	$339.83	$508.81
United Facility/Professional Professional Modifier Low / Median / High Price $302.23 / $347.56 / $568.13	Professional		$302.23	$347.56	$568.13