Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $741.31	Professional		$398.11	$549.54	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $501.19	Professional		$114.82	$114.82	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $1,621.81	Professional		$1,071.52	$1,348.96	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $575.44 / $741.31	Facility		$524.81	$575.44	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $870.96	Professional		$489.78	$575.44	$870.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $575.44 / $1,258.93	Facility		$457.09	$575.44	$1,258.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $524.81 / $912.01	Professional		$30.20	$524.81	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $61.66 / $616.60	Facility		$52.48	$61.66	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $81.28 / $630.96	Professional		$38.90	$81.28	$630.96