Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.73 / $90.73 / $366.82	Facility		$90.73	$90.73	$366.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $93.39 / $136.86	Professional		$90.73	$93.39	$136.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.19 / $107.19 / $107.19	Professional		$107.19	$107.19	$107.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.09 / $108.31 / $194.12	Professional		$102.09	$108.31	$194.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.64 / $444.64 / $1,613.93	Facility		$444.64	$444.64	$1,613.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.13 / $146.00 / $212.53	Professional		$103.13	$146.00	$212.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.81 / $180.00 / $312.00	Facility		$102.81	$180.00	$312.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.44 / $108.45 / $167.16	Professional		$80.44	$108.45	$167.16
United Facility/Professional Professional Modifier Low / Median / High Price $98.38 / $142.85 / $220.99	Professional		$98.38	$142.85	$220.99