Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $251.19	Professional		$97.72	$131.83	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $173.78	Professional		$114.82	$114.82	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $151.36 / $208.93	Professional		$138.04	$151.36	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $257.04	Professional		$123.03	$169.82	$257.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $218.78	Professional		$100.00	$141.25	$218.78