Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.35 / $179.35 / $179.35	Facility		$179.35	$179.35	$179.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.28 / $179.35 / $335.42	Professional		$117.28	$179.35	$335.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $415.00 / $415.00 / $415.00	Professional		$415.00	$415.00	$415.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.00 / $370.66 / $487.01	Professional		$294.00	$370.66	$487.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.51 / $301.51 / $332.89	Facility		$301.51	$301.51	$332.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $301.51 / $314.97	Professional		$220.10	$301.51	$314.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.73 / $304.89 / $669.24	Facility		$99.73	$304.89	$669.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.74 / $389.74 / $389.74	Professional		$389.74	$389.74	$389.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $336.49 / $336.49 / $336.49	Professional		$336.49	$336.49	$336.49
United Facility/Professional Professional Modifier Low / Median / High Price $165.62 / $237.35 / $344.05	Professional		$165.62	$237.35	$344.05