Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.07 / $178.07 / $178.07	Facility		$178.07	$178.07	$178.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.07 / $178.07 / $296.27	Professional		$178.07	$178.07	$296.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.05 / $398.05 / $398.05	Professional		$398.05	$398.05	$398.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $296.27 / $421.93	Professional		$235.00	$296.27	$421.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.28 / $306.16 / $338.04	Facility		$177.28	$306.16	$338.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $239.36 / $306.16	Professional		$223.50	$239.36	$306.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $177.13 / $286.00 / $625.15	Facility		$177.13	$286.00	$625.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $224.00 / $241.00	Professional		$224.00	$224.00	$241.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $268.97 / $268.97 / $268.97	Professional		$268.97	$268.97	$268.97
United Facility/Professional Professional Modifier Low / Median / High Price $133.72 / $198.59 / $299.20	Professional		$133.72	$198.59	$299.20