Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $478.63	Professional		$275.42	$363.08	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $645.65 / $758.58	Professional		$371.54	$645.65	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $398.11 / $1,122.02	Facility		$288.40	$398.11	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $870.96	Professional		$288.40	$288.40	$870.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $467.74	Professional		$323.59	$426.58	$467.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $512.86 / $1,071.52	Facility		$288.40	$512.86	$1,071.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $436.52	Professional		$30.20	$30.20	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $478.63 / $851.14	Facility		$363.08	$478.63	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $478.63	Professional		$251.19	$323.59	$478.63