Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.51 / $357.60 / $758.20	Facility		$54.51	$357.60	$758.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.88 / $129.38 / $151.74	Professional		$103.88	$129.38	$151.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.56 / $153.63 / $155.60	Professional		$117.56	$153.63	$155.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.27 / $32.96 / $64.98	Facility		$13.27	$32.96	$64.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.33 / $509.19 / $653.54	Facility		$285.33	$509.19	$653.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.63 / $356.75	Professional		$125.89	$181.63	$356.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $129.38 / $179.84 / $357.84	Facility		$129.38	$179.84	$357.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $569.70 / $569.70 / $569.70	Professional		$569.70	$569.70	$569.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.18 / $69.43 / $103.66	Professional		$26.18	$69.43	$103.66
United Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $190.14 / $294.68	Professional		$125.82	$190.14	$294.68