Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $281.84 / $707.95	Facility		$51.29	$281.84	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $120.23 / $190.55	Professional		$69.18	$120.23	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $97.72 / $162.18	Professional		$52.48	$97.72	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $38.90 / $70.79	Facility		$13.80	$38.90	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $389.05 / $549.54	Facility		$85.11	$389.05	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $302.00	Professional		$112.20	$173.78	$302.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $134.90 / $234.42	Facility		$102.33	$134.90	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $74.13 / $109.65	Professional		$26.30	$74.13	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $281.84	Professional		$125.89	$165.96	$281.84