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 $354.81 / $426.58 / $549.54	Professional		$354.81	$426.58	$549.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $691.83	Professional		$354.81	$549.54	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $870.96	Facility		$371.54	$371.54	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $630.96	Professional		$275.42	$275.42	$630.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $354.81 / $812.83	Facility		$269.15	$354.81	$812.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
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 $0.39 / $288.40 / $660.69	Facility		$0.39	$288.40	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $398.11	Professional		$199.53	$275.42	$398.11