Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $478.63	Professional		$234.42	$309.03	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $416.87 / $512.86	Professional		$371.54	$416.87	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $549.54 / $645.65	Professional		$316.23	$549.54	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $363.08 / $912.01	Facility		$245.47	$363.08	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $741.31	Professional		$263.03	$263.03	$741.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $338.84	Professional		$257.04	$309.03	$338.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $389.05 / $870.96	Facility		$251.19	$389.05	$870.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $165.96	Professional		$162.18	$162.18	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $371.54	Professional		$30.20	$30.20	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $331.13 / $691.83	Facility		$251.19	$331.13	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $346.74	Professional		$208.93	$269.15	$346.74