Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $338.84	Professional		$204.17	$263.03	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $389.05 / $524.81	Professional		$316.23	$389.05	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $331.13 / $338.84	Facility		$295.12	$331.13	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $549.54	Professional		$281.84	$331.13	$549.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $346.74 / $630.96	Facility		$269.15	$346.74	$630.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $346.74	Professional		$138.04	$138.04	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $204.17 / $275.42	Professional		$27.54	$204.17	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $208.93 / $346.74	Facility		$28.18	$208.93	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $354.81	Professional		$169.82	$239.88	$354.81