Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $489.78	Professional		$257.04	$323.59	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $602.56	Professional		$302.00	$457.09	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $602.56 / $707.95	Professional		$346.74	$602.56	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $380.19 / $1,096.48	Facility		$269.15	$380.19	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $691.83	Professional		$281.84	$281.84	$691.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $398.11 / $398.11	Professional		$363.08	$398.11	$398.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $478.63 / $977.24	Facility		$269.15	$478.63	$977.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $407.38	Professional		$30.20	$30.20	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $446.68 / $812.83	Facility		$251.19	$446.68	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $457.09	Professional		$234.42	$302.00	$457.09