Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $891.25 / $2,398.83	Facility		$588.84	$891.25	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $676.08 / $1,621.81	Professional		$562.34	$676.08	$1,621.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $537.03 / $1,047.13	Professional		$478.63	$537.03	$1,047.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,412.54 / $2,454.71	Facility		$812.83	$1,412.54	$2,454.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,122.02 / $1,548.82	Professional		$676.08	$1,122.02	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $562.34 / $562.34	Facility		$537.03	$562.34	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $707.95 / $1,949.84	Facility		$588.84	$707.95	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $660.69 / $1,202.26	Facility		$562.34	$660.69	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $660.69	Professional		$562.34	$562.34	$660.69