Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $354.81	Professional		$229.09	$281.84	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $616.60	Professional		$398.11	$489.78	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $302.00 / $426.58	Facility		$295.12	$302.00	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $524.81	Professional		$257.04	$302.00	$524.81
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 $229.09 / $338.84 / $812.83	Facility		$229.09	$338.84	$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 / $257.04 / $338.84	Professional		$33.88	$257.04	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $204.17 / $316.23	Facility		$27.54	$204.17	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $426.58	Professional		$194.98	$275.42	$426.58