Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.14 / $318.14 / $318.14	Facility		$318.14	$318.14	$318.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.25 / $318.14 / $529.30	Professional		$296.25	$318.14	$529.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $497.82 / $497.82 / $640.05	Professional		$497.82	$497.82	$640.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $479.08 / $753.84	Professional		$380.00	$479.08	$753.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.06 / $440.05 / $485.86	Facility		$152.06	$440.05	$485.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.24 / $427.67 / $440.05	Professional		$321.24	$427.67	$440.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $316.47 / $510.00 / $1,116.89	Facility		$316.47	$510.00	$1,116.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.00 / $398.00 / $398.00	Professional		$398.00	$398.00	$398.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $480.56 / $480.56 / $480.56	Professional		$480.56	$480.56	$480.56
United Facility/Professional Professional Modifier Low / Median / High Price $238.89 / $351.63 / $502.37	Professional		$238.89	$351.63	$502.37