Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $512.86	Professional		$239.88	$302.00	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $630.96 / $741.31	Professional		$602.56	$630.96	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $933.25	Facility		$323.59	$323.59	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $676.08	Professional		$239.88	$239.88	$676.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $389.05	Professional		$295.12	$389.05	$389.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $426.58 / $954.99	Facility		$269.15	$426.58	$954.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
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 $0.41 / $302.00 / $707.95	Facility		$0.41	$302.00	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $371.54	Professional		$218.78	$288.40	$371.54