Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.95 / $218.95 / $218.95	Facility		$218.95	$218.95	$218.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.95 / $218.95 / $387.35	Professional		$218.95	$218.95	$387.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $442.37 / $442.37 / $442.37	Professional		$442.37	$442.37	$442.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.00 / $322.74 / $468.91	Professional		$256.00	$322.74	$468.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.02 / $345.03 / $380.95	Facility		$197.02	$345.03	$380.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $266.02 / $345.03	Professional		$251.87	$266.02	$345.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $196.85 / $317.00 / $694.73	Facility		$196.85	$317.00	$694.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $249.00 / $249.00 / $267.00	Professional		$249.00	$249.00	$267.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $298.92 / $298.92 / $298.92	Professional		$298.92	$298.92	$298.92
United Facility/Professional Professional Modifier Low / Median / High Price $147.13 / $218.72 / $280.02	Professional		$147.13	$218.72	$280.02