Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $279.64 / $279.64	Facility		$73.37	$279.64	$279.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $87.60 / $209.21	Professional		$73.37	$87.60	$209.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.68 / $141.68 / $155.49	Professional		$141.68	$141.68	$155.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.12 / $347.23 / $576.36	Facility		$195.12	$347.23	$576.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $145.88 / $233.63	Professional		$73.84	$145.88	$233.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.50 / $651.64 / $685.10	Facility		$185.50	$651.64	$685.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $114.48 / $214.89	Professional		$88.93	$114.48	$214.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.66 / $150.00 / $361.00	Facility		$80.66	$150.00	$361.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $319.08 / $319.08 / $319.08	Professional		$319.08	$319.08	$319.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $53.91 / $137.35	Professional		$29.53	$53.91	$137.35
United Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $96.63 / $173.20	Professional		$79.45	$96.63	$173.20