Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.69 / $203.69 / $203.69	Facility		$203.69	$203.69	$203.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.68 / $203.69 / $338.90	Professional		$189.68	$203.69	$338.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $318.73 / $413.17 / $455.33	Professional		$318.73	$413.17	$455.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.00 / $334.10 / $482.65	Professional		$265.00	$334.10	$482.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.79 / $293.77 / $324.33	Facility		$202.79	$293.77	$324.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $273.81 / $293.77	Professional		$214.45	$273.81	$293.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $202.61 / $327.00 / $715.09	Facility		$202.61	$327.00	$715.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $256.00 / $256.00 / $275.00	Professional		$256.00	$256.00	$275.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $307.67 / $307.67 / $307.67	Professional		$307.67	$307.67	$307.67
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $564.00 / $564.00	Facility		$564.00	$564.00	$564.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.36 / $225.13 / $317.95	Professional		$173.36	$225.13	$317.95