Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $398.11	Professional		$208.93	$281.84	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $489.78	Professional		$380.19	$380.19	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $489.78 / $575.44	Professional		$281.84	$489.78	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $309.03 / $851.14	Facility		$218.78	$309.03	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $660.69	Professional		$223.87	$223.87	$660.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $323.59 / $346.74	Professional		$309.03	$323.59	$346.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $389.05 / $758.58	Facility		$218.78	$389.05	$758.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $331.13	Professional		$30.20	$30.20	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $363.08 / $660.69	Facility		$138.04	$363.08	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $245.47 / $371.54	Professional		$190.55	$245.47	$371.54