Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.55 / $240.55 / $240.55	Facility		$240.55	$240.55	$240.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $240.55 / $400.22	Professional		$224.00	$240.55	$400.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $262.14 / $262.14 / $262.14	Professional		$262.14	$262.14	$262.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $397.14 / $569.98	Professional		$315.00	$397.14	$569.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.49 / $260.88 / $288.02	Facility		$239.49	$260.88	$288.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $260.88 / $323.36	Professional		$190.44	$260.88	$323.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $212.70 / $386.00 / $844.49	Facility		$212.70	$386.00	$844.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $325.00	Professional		$302.00	$302.00	$325.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $363.35 / $363.35 / $363.35	Professional		$363.35	$363.35	$363.35
United Facility/Professional Professional Modifier Low / Median / High Price $167.67 / $262.32 / $323.27	Professional		$167.67	$262.32	$323.27