Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $288.40	Professional		$173.78	$229.09	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $398.11	Professional		$223.87	$354.81	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $389.05 / $501.19	Professional		$323.59	$389.05	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $245.47 / $346.74	Facility		$154.88	$245.47	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $426.58	Professional		$208.93	$245.47	$426.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $288.40 / $645.65	Facility		$186.21	$288.40	$645.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $190.55 / $251.19	Professional		$25.12	$190.55	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $158.49 / $245.47	Facility		$21.38	$158.49	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $316.23	Professional		$151.36	$204.17	$316.23