Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.10 / $170.10 / $508.35	Facility		$170.10	$170.10	$508.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.86 / $287.79 / $774.00	Professional		$220.86	$287.79	$774.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $774.00 / $774.00 / $774.00	Professional		$774.00	$774.00	$774.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.71 / $364.88 / $665.13	Facility		$60.71	$364.88	$665.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $340.40 / $492.98	Professional		$270.00	$340.40	$492.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.14 / $293.31 / $323.83	Facility		$207.14	$293.31	$323.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.12 / $377.51 / $412.72	Professional		$214.12	$377.51	$412.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $334.00 / $730.41	Facility		$162.00	$334.00	$730.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $262.00 / $262.00 / $281.00	Professional		$262.00	$262.00	$281.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $314.27 / $314.27 / $314.27	Professional		$314.27	$314.27	$314.27
United Facility/Professional Facility Modifier Low / Median / High Price $580.80 / $580.80 / $580.80	Facility		$580.80	$580.80	$580.80
United Facility/Professional Professional Modifier Low / Median / High Price $154.68 / $221.68 / $292.97	Professional		$154.68	$221.68	$292.97