Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.75 / $308.75 / $308.75	Facility		$308.75	$308.75	$308.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.51 / $308.75 / $513.69	Professional		$287.51	$308.75	$513.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $336.46 / $483.13 / $690.18	Professional		$336.46	$483.13	$690.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.35 / $562.42 / $803.54	Professional		$436.35	$562.42	$803.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.56 / $380.63 / $420.26	Facility		$147.56	$380.63	$420.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $380.63 / $415.03	Professional		$277.86	$380.63	$415.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $307.12 / $495.00 / $1,083.92	Facility		$307.12	$495.00	$1,083.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $386.00 / $386.00 / $386.00	Professional		$386.00	$386.00	$386.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $466.36 / $466.36 / $466.36	Professional		$466.36	$466.36	$466.36
United Facility/Professional Professional Modifier Low / Median / High Price $248.21 / $336.68 / $448.76	Professional		$248.21	$336.68	$448.76