Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.07 / $290.07 / $290.07	Facility		$290.07	$290.07	$290.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.31 / $290.07 / $513.16	Professional		$278.31	$290.07	$513.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $380.94 / $380.94 / $380.94	Professional		$380.94	$380.94	$380.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $586.05 / $705.26	Professional		$81.00	$586.05	$705.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.37 / $325.37 / $359.24	Facility		$325.37	$325.37	$359.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.20 / $237.52 / $370.96	Professional		$84.20	$237.52	$370.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $101.00 / $348.08 / $920.40	Facility		$101.00	$348.08	$920.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $85.00	Professional		$79.00	$79.00	$85.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $396.01 / $396.01 / $396.01	Professional		$396.01	$396.01	$396.01
United Facility/Professional Professional Modifier Low / Median / High Price $203.77 / $281.42 / $407.54	Professional		$203.77	$281.42	$407.54