Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.08 / $104.67 / $336.60	Facility		$80.08	$104.67	$336.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.18 / $104.67 / $130.40	Professional		$92.18	$104.67	$130.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $87.64 / $87.64	Professional		$87.64	$87.64	$87.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.35 / $107.33 / $185.11	Facility		$51.35	$107.33	$185.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $123.14 / $147.77	Professional		$108.36	$123.14	$147.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.07 / $115.07 / $115.07	Facility		$115.07	$115.07	$115.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $115.07 / $115.07	Professional		$115.07	$115.07	$115.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.67 / $118.43 / $141.30	Facility		$104.67	$118.43	$141.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.06 / $83.06 / $103.82	Professional		$83.06	$83.06	$103.82
United Facility/Professional Professional Modifier Low / Median / High Price $102.74 / $118.15 / $123.29	Professional		$102.74	$118.15	$123.29