Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $363.08	Professional		$186.21	$239.88	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $436.52	Professional		$245.47	$323.59	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $436.52 / $512.86	Professional		$257.04	$436.52	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $281.84 / $776.25	Facility		$194.98	$281.84	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $501.19	Professional		$204.17	$204.17	$501.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $288.40 / $295.12	Professional		$263.03	$288.40	$295.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $331.13 / $660.69	Facility		$194.98	$331.13	$660.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $295.12	Professional		$30.20	$30.20	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $323.59 / $588.84	Facility		$120.23	$323.59	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $323.59	Professional		$169.82	$218.78	$323.59