Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.11 / $149.54 / $229.61	Professional		$108.11	$149.54	$229.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.06 / $187.06 / $187.06	Professional		$187.06	$187.06	$187.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $151.27 / $252.58	Professional		$109.73	$151.27	$252.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.03 / $174.79 / $309.26	Professional		$127.03	$174.79	$309.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $139.13 / $139.13 / $139.13	Professional		$139.13	$139.13	$139.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.91 / $153.09 / $243.09	Professional		$96.91	$153.09	$243.09
United Facility/Professional Professional Modifier Low / Median / High Price $124.77 / $164.55 / $351.87	Professional		$124.77	$164.55	$351.87