Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.77 / $449.77 / $449.77	Facility		$449.77	$449.77	$449.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.27 / $449.77 / $795.72	Professional		$401.27	$449.77	$795.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $590.67 / $590.67 / $590.67	Professional		$590.67	$590.67	$590.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.00 / $663.14 / $963.26	Professional		$526.00	$663.14	$963.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $404.72 / $510.00 / $563.07	Facility		$404.72	$510.00	$563.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $510.00 / $546.48	Professional		$372.30	$510.00	$546.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $400.96 / $651.00 / $1,427.17	Facility		$400.96	$651.00	$1,427.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $511.00 / $511.00 / $549.00	Professional		$511.00	$511.00	$549.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $614.06 / $614.06 / $614.06	Professional		$614.06	$614.06	$614.06
United Facility/Professional Professional Modifier Low / Median / High Price $302.24 / $433.15 / $546.48	Professional		$302.24	$433.15	$546.48