Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $812.83	Professional		$389.05	$467.74	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $741.31 / $1,258.93	Professional		$676.08	$741.31	$1,258.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $912.01 / $1,071.52	Professional		$524.81	$912.01	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $512.86 / $1,445.44	Facility		$407.38	$512.86	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $1,023.29	Professional		$371.54	$371.54	$1,023.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $537.03	Professional		$489.78	$489.78	$537.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $707.95 / $1,445.44	Facility		$436.52	$707.95	$1,445.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $263.03	Professional		$257.04	$257.04	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $616.60	Professional		$30.20	$30.20	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $501.19 / $1,096.48	Facility		$398.11	$501.19	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $575.44	Professional		$338.84	$446.68	$575.44