Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $234.42	Professional		$151.36	$186.21	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $407.38	Professional		$257.04	$338.84	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $204.17 / $275.42	Facility		$194.98	$204.17	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $346.74	Professional		$173.78	$204.17	$346.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $234.42 / $512.86	Facility		$151.36	$234.42	$512.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $131.83	Professional		$112.20	$112.20	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $162.18 / $218.78	Professional		$21.88	$162.18	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $138.04 / $218.78	Facility		$18.62	$138.04	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $281.84	Professional		$128.82	$173.78	$281.84