Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.68 / $89.68 / $362.58	Facility		$89.68	$89.68	$362.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.68 / $100.03 / $125.29	Professional		$89.68	$100.03	$125.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.61 / $181.61 / $181.61	Professional		$181.61	$181.61	$181.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.46 / $107.64 / $152.02	Professional		$101.46	$107.64	$152.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $403.40 / $403.40 / $696.14	Facility		$403.40	$403.40	$696.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.60 / $131.56 / $195.06	Professional		$97.60	$131.56	$195.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $92.52 / $156.00 / $279.08	Facility		$92.52	$156.00	$279.08
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 $88.61 / $128.65 / $214.91	Professional		$88.61	$128.65	$214.91