Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $398.11	Professional		$177.83	$239.88	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $407.38 / $524.81	Professional		$354.81	$407.38	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $537.03 / $630.96	Professional		$316.23	$537.03	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $263.03 / $776.25	Facility		$239.88	$263.03	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $467.74	Professional		$190.55	$190.55	$467.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $269.15 / $269.15	Professional		$239.88	$269.15	$269.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $389.05 / $851.14	Facility		$234.42	$389.05	$851.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $131.83	Professional		$128.82	$128.82	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $363.08	Professional		$30.20	$30.20	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $302.00 / $549.54	Facility		$263.03	$302.00	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $323.59	Professional		$165.96	$263.03	$323.59