Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.66 / $228.66 / $633.98	Facility		$228.66	$228.66	$633.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.53 / $228.66 / $377.15	Professional		$195.53	$228.66	$377.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $210.28 / $210.28 / $210.28	Professional		$210.28	$210.28	$210.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.10 / $306.14 / $943.26	Facility		$129.10	$306.14	$943.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $90.00 / $235.40	Professional		$52.00	$90.00	$235.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.54 / $175.54 / $175.54	Facility		$175.54	$175.54	$175.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.17 / $213.65 / $309.14	Professional		$185.17	$213.65	$309.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $195.61 / $216.58 / $274.39	Facility		$195.61	$216.58	$274.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.75 / $193.49 / $262.19	Professional		$152.75	$193.49	$262.19
United Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $1,138.00 / $2,922.00	Facility		$384.00	$1,138.00	$2,922.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.02 / $198.79 / $304.31	Professional		$156.02	$198.79	$304.31