Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.51 / $62.51 / $62.51	Facility		$62.51	$62.51	$62.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.51 / $78.45 / $419.00	Professional		$62.51	$78.45	$419.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $132.13 / $132.13	Professional		$132.13	$132.13	$132.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.39 / $224.12 / $367.84	Facility		$117.39	$224.12	$367.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.66 / $93.00 / $155.21	Professional		$67.66	$93.00	$155.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.69 / $123.69 / $210.58	Facility		$123.69	$123.69	$210.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.53 / $94.30 / $158.69	Professional		$75.53	$94.30	$158.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.97 / $124.07 / $191.56	Facility		$66.97	$124.07	$191.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $275.48 / $275.48 / $275.48	Professional		$275.48	$275.48	$275.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $51.99 / $90.40	Professional		$29.53	$51.99	$90.40
United Facility/Professional Professional Modifier Low / Median / High Price $66.54 / $86.40 / $144.22	Professional		$66.54	$86.40	$144.22