Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.71 / $286.67 / $362.84	Professional		$208.71	$286.67	$362.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $278.89 / $278.89 / $278.89	Professional		$278.89	$278.89	$278.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.00 / $504.00 / $688.44	Professional		$402.00	$504.00	$688.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.87 / $310.87 / $417.10	Facility		$310.87	$310.87	$417.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.24 / $310.87 / $416.18	Professional		$264.24	$310.87	$416.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $276.19 / $362.84 / $799.04	Facility		$276.19	$362.84	$799.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $417.00 / $430.00 / $430.00	Professional		$417.00	$430.00	$430.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $237.25 / $316.33	Professional		$31.63	$237.25	$316.33
United Facility/Professional Professional Modifier Low / Median / High Price $192.13 / $257.20 / $387.55	Professional		$192.13	$257.20	$387.55