Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $831.76 / $933.25	Professional		$537.03	$831.76	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,258.93 / $1,548.82	Professional		$1,230.27	$1,258.93	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,479.11	Facility		$870.96	$1,148.15	$1,479.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $81.28 / $812.83	Facility		$40.74	$81.28	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $891.25 / $1,737.80	Professional		$323.59	$891.25	$1,737.80