Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.90 / $361.19 / $469.48	Facility		$165.90	$361.19	$469.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.78 / $248.28 / $531.49	Professional		$147.78	$248.28	$531.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $497.00 / $497.00 / $497.00	Professional		$497.00	$497.00	$497.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.40 / $79.31 / $428.34	Facility		$62.40	$79.31	$428.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $196.91 / $316.52	Professional		$160.00	$196.91	$316.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $175.00 / $193.21	Facility		$175.00	$175.00	$193.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $193.00 / $238.16	Professional		$127.75	$193.00	$238.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $132.88 / $218.49 / $468.96	Facility		$132.88	$218.49	$468.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $218.49 / $218.49 / $218.49	Professional		$218.49	$218.49	$218.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $201.77 / $201.77 / $201.77	Professional		$201.77	$201.77	$201.77
United Facility/Professional Facility Modifier Low / Median / High Price $353.74 / $353.74 / $353.74	Facility		$353.74	$353.74	$353.74
United Facility/Professional Professional Modifier Low / Median / High Price $99.31 / $141.76 / $199.38	Professional		$99.31	$141.76	$199.38