Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.40 / $283.37 / $703.80	Facility		$50.40	$283.37	$703.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.76 / $109.90 / $178.89	Professional		$81.76	$109.90	$178.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $113.43 / $162.80	Professional		$93.33	$113.43	$162.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.85 / $38.15 / $69.15	Facility		$18.85	$38.15	$69.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.07 / $399.68 / $537.26	Facility		$262.07	$399.68	$537.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.78 / $174.99 / $302.64	Professional		$129.78	$174.99	$302.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.63 / $227.99 / $285.75	Facility		$102.63	$227.99	$285.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $451.09 / $451.09 / $451.09	Professional		$451.09	$451.09	$451.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.18 / $76.98 / $116.31	Professional		$26.18	$76.98	$116.31
United Facility/Professional Professional Modifier Low / Median / High Price $125.70 / $165.62 / $261.05	Professional		$125.70	$165.62	$261.05