Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.56 / $293.97 / $405.40	Professional		$233.56	$293.97	$405.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $400.42 / $400.42 / $427.40	Professional		$400.42	$400.42	$427.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.46 / $176.46 / $176.46	Facility		$176.46	$176.46	$176.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.32 / $333.09 / $412.79	Professional		$323.32	$333.09	$412.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.19 / $517.19 / $517.19	Facility		$517.19	$517.19	$517.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $378.23 / $444.41	Professional		$378.23	$378.23	$444.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $288.99 / $355.18 / $577.80	Facility		$288.99	$355.18	$577.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $308.12 / $354.68 / $846.31	Professional		$308.12	$354.68	$846.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $360.61 / $489.62 / $760.12	Professional		$360.61	$489.62	$760.12
United Facility/Professional Professional Modifier Low / Median / High Price $303.60 / $368.22 / $615.71	Professional		$303.60	$368.22	$615.71