Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.21 / $195.21 / $195.21	Facility		$195.21	$195.21	$195.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.21 / $195.21 / $324.77	Professional		$195.21	$195.21	$324.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $212.73 / $212.73 / $212.73	Professional		$212.73	$212.73	$212.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $321.48 / $462.54	Professional		$255.00	$321.48	$462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.30 / $311.77 / $344.24	Facility		$93.30	$311.77	$344.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.60 / $262.39 / $311.77	Professional		$227.60	$262.39	$311.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $194.17 / $313.00 / $685.29	Facility		$194.17	$313.00	$685.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.00 / $245.00 / $264.00	Professional		$245.00	$245.00	$264.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $294.85 / $294.85 / $294.85	Professional		$294.85	$294.85	$294.85
United Facility/Professional Professional Modifier Low / Median / High Price $166.13 / $217.69 / $328.00	Professional		$166.13	$217.69	$328.00