Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.29 / $160.29 / $648.04	Facility		$160.29	$160.29	$648.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.12 / $182.02 / $578.30	Professional		$155.12	$182.02	$578.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $189.24 / $252.32 / $322.61	Professional		$189.24	$252.32	$322.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.23 / $206.44 / $425.00	Professional		$180.23	$206.44	$425.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $793.60 / $793.60 / $1,226.83	Facility		$793.60	$793.60	$1,226.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.07 / $229.39 / $375.49	Professional		$177.07	$229.39	$375.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $256.80 / $561.00	Facility		$165.00	$256.80	$561.00
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 $173.08 / $233.54 / $387.57	Professional		$173.08	$233.54	$387.57