Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $954.99	Professional		$446.68	$562.34	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $616.60 / $1,071.52	Professional		$602.56	$616.60	$1,071.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,096.48 / $1,288.25	Professional		$676.08	$1,096.48	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $724.44 / $1,698.24	Facility		$660.69	$724.44	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $1,258.93	Professional		$537.03	$537.03	$1,258.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $707.95	Professional		$537.03	$537.03	$707.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $1,698.24	Facility		$501.19	$794.33	$1,698.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $309.03	Professional		$302.00	$302.00	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $724.44	Professional		$30.20	$30.20	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $0.78 / $562.34 / $1,318.26	Facility		$0.78	$562.34	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $676.08	Professional		$398.11	$537.03	$676.08