Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $602.56	Professional		$281.84	$354.81	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $676.08	Professional		$512.86	$512.86	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $660.69 / $812.83	Professional		$363.08	$660.69	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $416.87 / $1,071.52	Facility		$144.54	$416.87	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $794.33	Professional		$309.03	$309.03	$794.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $446.68	Professional		$338.84	$398.11	$446.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $501.19 / $1,071.52	Facility		$316.23	$501.19	$1,071.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $194.98	Professional		$190.55	$190.55	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $457.09	Professional		$30.20	$30.20	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $0.48 / $380.19 / $831.76	Facility		$0.48	$380.19	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $338.84 / $426.58	Professional		$251.19	$338.84	$426.58