Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $281.84	Professional		$151.36	$213.80	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $263.03 / $354.81	Professional		$229.09	$263.03	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $346.74 / $407.38	Professional		$204.17	$346.74	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $234.42 / $660.69	Facility		$154.88	$234.42	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $478.63	Professional		$169.82	$169.82	$478.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $245.47 / $275.42	Professional		$229.09	$245.47	$275.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $281.84 / $616.60	Facility		$154.88	$281.84	$616.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $234.42	Professional		$30.20	$30.20	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $257.04 / $467.74	Facility		$38.02	$257.04	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $263.03	Professional		$134.90	$173.78	$263.03