Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $309.03 / $363.08	Facility		$89.13	$309.03	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $223.87	Professional		$87.10	$107.15	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $190.55	Professional		$85.11	$85.11	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $112.20 / $151.36	Professional		$102.33	$112.20	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $724.44 / $724.44	Facility		$407.38	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $194.98	Professional		$102.33	$138.04	$194.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $141.25 / $269.15	Facility		$93.33	$141.25	$269.15
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 $89.13 / $120.23 / $177.83	Professional		$89.13	$120.23	$177.83