Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.25 / $304.67 / $520.37	Facility		$111.25	$304.67	$520.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $99.84 / $146.36	Professional		$75.59	$99.84	$146.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $71.31 / $71.31	Professional		$71.31	$71.31	$71.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.86 / $200.67 / $938.39	Facility		$112.86	$200.67	$938.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $93.00 / $161.18	Professional		$93.00	$93.00	$161.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.43 / $351.37 / $813.25	Facility		$113.43	$351.37	$813.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.22 / $88.14 / $245.43	Professional		$66.22	$88.14	$245.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.42 / $150.19 / $211.61	Facility		$98.42	$150.19	$211.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $78.45 / $78.45	Professional		$78.45	$78.45	$78.45
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $85.58 / $132.26	Professional		$59.90	$85.58	$132.26