Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $389.05	Professional		$251.19	$309.03	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $676.08	Professional		$416.87	$588.84	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $436.52	Facility		$354.81	$354.81	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $616.60	Professional		$302.00	$354.81	$616.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $389.05 / $812.83	Facility		$251.19	$389.05	$812.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $208.93	Professional		$177.83	$177.83	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $251.19 / $338.84	Professional		$33.88	$251.19	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $245.47 / $389.05	Facility		$31.62	$245.47	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $457.09	Professional		$213.80	$295.12	$457.09