Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $588.84	Professional		$338.84	$436.52	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $794.33 / $933.25	Professional		$457.09	$794.33	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $588.84 / $1,348.96	Facility		$354.81	$588.84	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $1,023.29	Professional		$426.58	$426.58	$1,023.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $478.63 / $524.81	Professional		$467.74	$478.63	$524.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $602.56 / $1,202.26	Facility		$354.81	$602.56	$1,202.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $537.03	Professional		$30.20	$30.20	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $588.84 / $1,071.52	Facility		$181.97	$588.84	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $588.84	Professional		$309.03	$398.11	$588.84