Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $346.74 / $537.03	Professional		$269.15	$346.74	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $478.63 / $616.60	Professional		$426.58	$478.63	$616.60
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 $281.84 / $398.11 / $1,148.15	Facility		$281.84	$398.11	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $741.31	Professional		$288.40	$288.40	$741.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $426.58 / $426.58	Professional		$380.19	$426.58	$426.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $478.63 / $1,023.29	Facility		$281.84	$478.63	$1,023.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $208.93	Professional		$204.17	$204.17	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $426.58	Professional		$30.20	$30.20	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $478.63 / $870.96	Facility		$158.49	$478.63	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $478.63	Professional		$251.19	$316.23	$478.63