Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $398.11	Professional		$158.49	$204.17	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $288.40 / $309.03	Professional		$190.55	$288.40	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $354.81 / $446.68	Professional		$199.53	$354.81	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $208.93 / $602.56	Facility		$107.15	$208.93	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $436.52	Professional		$154.88	$154.88	$436.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $245.47	Professional		$190.55	$190.55	$245.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $275.42 / $602.56	Facility		$181.97	$275.42	$602.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $109.65	Professional		$107.15	$107.15	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $0.27 / $194.98 / $457.09	Facility		$0.27	$194.98	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $239.88	Professional		$141.25	$186.21	$239.88