Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.46 / $194.46 / $194.46	Facility		$194.46	$194.46	$194.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.46 / $194.46 / $323.54	Professional		$194.46	$194.46	$323.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.92 / $304.29 / $434.70	Professional		$211.92	$304.29	$434.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $321.48 / $460.78	Professional		$255.00	$321.48	$460.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.60 / $281.20 / $310.48	Facility		$193.60	$281.20	$310.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.28 / $261.41 / $281.20	Professional		$205.28	$261.41	$281.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $193.44 / $312.00 / $649.17	Facility		$193.44	$312.00	$649.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $244.00 / $244.00 / $263.00	Professional		$244.00	$244.00	$263.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $293.74 / $293.74 / $293.74	Professional		$293.74	$293.74	$293.74
United Facility/Professional Professional Modifier Low / Median / High Price $165.50 / $216.86 / $326.75	Professional		$165.50	$216.86	$326.75