Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $229.09	Professional		$134.90	$186.21	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $234.42 / $239.88	Professional		$218.78	$234.42	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $208.93 / $371.54	Facility		$158.49	$208.93	$371.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $331.13	Professional		$158.49	$199.53	$331.13