Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $741.31	Professional		$331.13	$478.63	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $954.99	Professional		$436.52	$676.08	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $1,174.90	Professional		$660.69	$933.25	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,023.29	Facility		$645.65	$645.65	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $707.95	Professional		$467.74	$467.74	$707.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $537.03 / $1,202.26	Facility		$398.11	$537.03	$1,202.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
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 $0.72 / $537.03 / $933.25	Facility		$0.72	$537.03	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $776.25	Professional		$380.19	$549.54	$776.25