Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $794.33	Professional		$407.38	$512.86	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $741.31 / $851.14	Professional		$660.69	$741.31	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $954.99 / $1,122.02	Professional		$549.54	$954.99	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $602.56 / $1,737.80	Facility		$426.58	$602.56	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $1,096.48	Professional		$436.52	$436.52	$1,096.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $630.96	Professional		$478.63	$575.44	$630.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $724.44 / $1,659.59	Facility		$426.58	$724.44	$1,659.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $645.65	Professional		$30.20	$30.20	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $707.95 / $1,288.25	Facility		$478.63	$707.95	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $724.44	Professional		$371.54	$478.63	$724.44