Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $575.44 / $1,023.29	Facility		$234.42	$575.44	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $446.68	Professional		$208.93	$269.15	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $478.63 / $575.44	Professional		$199.53	$478.63	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $794.33	Facility		$275.42	$275.42	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $575.44	Professional		$204.17	$204.17	$575.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $331.13 / $331.13	Professional		$251.19	$331.13	$331.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $363.08 / $812.83	Facility		$229.09	$363.08	$812.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $144.54	Professional		$141.25	$141.25	$144.54
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 $0.35 / $275.42 / $602.56	Facility		$0.35	$275.42	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $316.23	Professional		$186.21	$245.47	$316.23