Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.90 / $429.19 / $467.87	Facility		$214.90	$429.19	$467.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.25 / $236.92 / $613.00	Professional		$182.25	$236.92	$613.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.76 / $257.76 / $625.99	Professional		$257.76	$257.76	$625.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.71 / $154.53 / $495.83	Facility		$40.71	$154.53	$495.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $220.63 / $386.64	Professional		$175.00	$220.63	$386.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $233.36 / $257.64	Facility		$233.36	$233.36	$257.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $302.89 / $331.95	Professional		$170.35	$302.89	$331.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.58 / $276.74 / $672.22	Facility		$117.58	$276.74	$672.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $276.74 / $276.74 / $276.74	Professional		$276.74	$276.74	$276.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $248.82 / $248.82 / $248.82	Professional		$248.82	$248.82	$248.82
United Facility/Professional Professional Modifier Low / Median / High Price $123.33 / $177.98 / $231.08	Professional		$123.33	$177.98	$231.08