Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $630.96	Facility		$229.09	$229.09	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $446.68	Professional		$194.98	$234.42	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $263.03 / $741.31	Facility		$131.83	$263.03	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $199.53 / $251.19	Professional		$52.48	$199.53	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $213.80 / $309.03	Professional		$186.21	$213.80	$309.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $229.09 / $309.03	Facility		$199.53	$229.09	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,202.26 / $3,548.13	Facility		$380.19	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $295.12	Professional		$154.88	$194.98	$295.12