Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.06 / $177.06 / $177.06	Facility		$177.06	$177.06	$177.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.60 / $177.06 / $294.58	Professional		$125.60	$177.06	$294.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $267.17 / $267.17 / $395.00	Professional		$267.17	$267.17	$395.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.27 / $218.27 / $218.27	Facility		$218.27	$218.27	$218.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $307.68 / $444.68	Professional		$250.00	$307.68	$444.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.29 / $296.00 / $326.81	Facility		$176.29	$296.00	$326.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.08 / $267.08 / $301.92	Professional		$216.08	$267.08	$301.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $176.13 / $284.00 / $621.60	Facility		$176.13	$284.00	$621.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.00 / $223.00 / $252.83	Professional		$223.00	$223.00	$252.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $267.45 / $267.45 / $267.45	Professional		$267.45	$267.45	$267.45
United Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $195.70 / $300.58	Professional		$150.69	$195.70	$300.58