Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $489.78	Professional		$263.03	$338.84	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $446.68 / $602.56	Professional		$389.05	$446.68	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $645.65 / $758.58	Professional		$371.54	$645.65	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $457.09 / $1,071.52	Facility		$281.84	$457.09	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $794.33	Professional		$338.84	$338.84	$794.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $407.38 / $446.68	Professional		$398.11	$407.38	$446.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $501.19 / $1,023.29	Facility		$281.84	$501.19	$1,023.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $199.53	Professional		$194.98	$194.98	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $426.58	Professional		$30.20	$30.20	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $457.09 / $831.76	Facility		$281.84	$457.09	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $457.09	Professional		$245.47	$316.23	$457.09