Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.06 / $235.17 / $235.17	Facility		$51.06	$235.17	$235.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.06 / $68.56 / $355.00	Professional		$51.06	$68.56	$355.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.65 / $98.65 / $107.55	Professional		$98.65	$98.65	$107.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.35 / $233.51 / $377.66	Facility		$115.35	$233.51	$377.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.39 / $140.00 / $219.40	Professional		$55.39	$140.00	$219.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.37 / $385.05 / $407.38	Facility		$113.37	$385.05	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $84.83 / $137.03	Professional		$64.41	$84.83	$137.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.11 / $109.16 / $151.16	Facility		$55.11	$109.16	$151.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $222.16 / $222.16 / $222.16	Professional		$222.16	$222.16	$222.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $51.99 / $91.36	Professional		$29.53	$51.99	$91.36
United Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $71.52 / $122.84	Professional		$54.60	$71.52	$122.84