Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $776.25	Professional		$398.11	$501.19	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $724.44 / $741.31	Professional		$676.08	$724.44	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $954.99 / $1,122.02	Professional		$549.54	$954.99	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $588.84 / $1,659.59	Facility		$416.87	$588.84	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $1,071.52	Professional		$426.58	$426.58	$1,071.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $630.96 / $676.08	Professional		$616.60	$630.96	$676.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $724.44 / $1,548.82	Facility		$416.87	$724.44	$1,548.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $630.96	Professional		$30.20	$30.20	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $691.83 / $1,258.93	Facility		$389.05	$691.83	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $707.95	Professional		$371.54	$467.74	$707.95