Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.66 / $398.66 / $398.66	Facility		$398.66	$398.66	$398.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.66 / $418.55 / $745.04	Professional		$398.66	$418.55	$745.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $590.42 / $590.42 / $950.00	Professional		$590.42	$590.42	$950.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.00 / $857.01 / $1,109.67	Professional		$660.00	$857.01	$1,109.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.80 / $647.80 / $715.24	Facility		$647.80	$647.80	$715.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.90 / $472.90 / $472.90	Professional		$472.90	$472.90	$472.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $398.66 / $558.12 / $1,371.00	Facility		$398.66	$558.12	$1,371.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $904.06 / $904.06 / $904.06	Professional		$904.06	$904.06	$904.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $766.71 / $766.71 / $766.71	Professional		$766.71	$766.71	$766.71
United Facility/Professional Professional Modifier Low / Median / High Price $330.16 / $542.44 / $733.69	Professional		$330.16	$542.44	$733.69