Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.78 / $141.78 / $573.22	Facility		$141.78	$141.78	$573.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.56 / $160.59 / $304.74	Professional		$138.56	$160.59	$304.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.12 / $182.52 / $284.08	Professional		$129.12	$182.52	$284.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $406.77 / $406.77 / $406.77	Facility		$406.77	$406.77	$406.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.71 / $178.69 / $280.10	Professional		$158.71	$178.69	$280.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $662.58 / $662.58 / $1,613.93	Facility		$662.58	$662.58	$1,613.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.47 / $222.53 / $321.08	Professional		$157.47	$222.53	$321.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $157.05 / $267.00 / $459.81	Facility		$157.05	$267.00	$459.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.40 / $179.79 / $277.49	Professional		$133.40	$179.79	$277.49
United Facility/Professional Professional Modifier Low / Median / High Price $145.38 / $201.41 / $344.96	Professional		$145.38	$201.41	$344.96