Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.83 / $307.83 / $307.83	Facility		$307.83	$307.83	$307.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.66 / $307.83 / $512.16	Professional		$286.66	$307.83	$512.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $619.32 / $619.32 / $619.32	Professional		$619.32	$619.32	$619.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $492.28 / $729.42	Professional		$400.00	$492.28	$729.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.49 / $528.47 / $583.48	Facility		$306.49	$528.47	$583.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.78 / $413.82 / $528.47	Professional		$385.78	$413.82	$528.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $306.22 / $493.00 / $1,080.70	Facility		$306.22	$493.00	$1,080.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $387.00 / $387.00 / $416.00	Professional		$387.00	$387.00	$416.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $464.99 / $464.99 / $464.99	Professional		$464.99	$464.99	$464.99
United Facility/Professional Professional Modifier Low / Median / High Price $248.37 / $340.24 / $477.94	Professional		$248.37	$340.24	$477.94