Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $977.24	Professional		$478.63	$602.56	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,659.59	Professional		$676.08	$851.14	$1,659.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,122.02 / $1,318.26	Professional		$645.65	$1,122.02	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $1,905.46	Facility		$501.19	$707.95	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $1,318.26	Professional		$512.86	$512.86	$1,318.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $870.96	Professional		$512.86	$776.25	$870.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $912.01 / $1,949.84	Facility		$549.54	$912.01	$1,949.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $331.13	Professional		$323.59	$323.59	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $758.58	Professional		$30.20	$30.20	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $602.56 / $1,412.54	Facility		$478.63	$602.56	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $707.95	Professional		$426.58	$549.54	$707.95