Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $489.78	Professional		$251.19	$316.23	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $446.68 / $562.34	Professional		$389.05	$446.68	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $588.84 / $691.83	Professional		$338.84	$588.84	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $380.19 / $1,071.52	Facility		$263.03	$380.19	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $676.08	Professional		$275.42	$275.42	$676.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $354.81 / $389.05	Professional		$346.74	$354.81	$389.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $446.68 / $933.25	Facility		$263.03	$446.68	$933.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $398.11	Professional		$30.20	$30.20	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $436.52 / $794.33	Facility		$346.74	$436.52	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $436.52	Professional		$229.09	$295.12	$436.52