Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $537.03	Professional		$295.12	$389.05	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $549.54 / $645.65	Professional		$501.19	$549.54	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $707.95 / $831.76	Professional		$380.19	$707.95	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $436.52 / $1,202.26	Facility		$151.36	$436.52	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $912.01	Professional		$323.59	$323.59	$912.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $426.58 / $467.74	Professional		$363.08	$426.58	$467.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $537.03 / $1,148.15	Facility		$316.23	$537.03	$1,148.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $218.78	Professional		$213.80	$213.80	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $478.63	Professional		$30.20	$30.20	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $0.52 / $501.19 / $912.01	Facility		$0.52	$501.19	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $501.19	Professional		$275.42	$354.81	$501.19