Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $549.54	Professional		$281.84	$363.08	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $630.96	Professional		$467.74	$575.44	$630.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,230.27 / $1,348.96	Facility		$1,096.48	$1,230.27	$1,348.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $630.96 / $741.31	Professional		$363.08	$630.96	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $524.81 / $1,148.15	Facility		$275.42	$524.81	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $851.14	Professional		$380.19	$380.19	$851.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $398.11 / $446.68	Professional		$316.23	$398.11	$446.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $512.86 / $1,047.13	Facility		$309.03	$512.86	$1,047.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $426.58	Professional		$30.20	$30.20	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $389.05 / $851.14	Facility		$309.03	$389.05	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $416.87	Professional		$239.88	$309.03	$416.87