Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $354.81 / $758.58	Facility		$52.48	$354.81	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $251.19	Professional		$102.33	$141.25	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $144.54 / $154.88	Professional		$52.48	$144.54	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $33.88 / $67.61	Facility		$13.49	$33.88	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $501.19 / $676.08	Facility		$107.15	$501.19	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $263.03	Professional		$125.89	$169.82	$263.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $158.49 / $281.84	Facility		$128.82	$158.49	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $66.07 / $97.72	Professional		$26.30	$66.07	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $295.12	Professional		$125.89	$173.78	$295.12