Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.83 / $265.32 / $336.60	Facility		$149.83	$265.32	$336.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.29 / $149.83 / $165.00	Professional		$137.29	$149.83	$165.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.39 / $118.39 / $118.39	Professional		$118.39	$118.39	$118.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.40 / $192.46 / $323.82	Facility		$101.40	$192.46	$323.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.12 / $176.27 / $211.52	Professional		$155.12	$176.27	$211.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.66 / $164.66 / $164.66	Facility		$164.66	$164.66	$164.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.66 / $164.66 / $164.66	Professional		$164.66	$164.66	$164.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $149.83 / $176.27 / $202.27	Facility		$149.83	$176.27	$202.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.89 / $118.89 / $148.61	Professional		$118.89	$118.89	$148.61
United Facility/Professional Professional Modifier Low / Median / High Price $147.02 / $169.07 / $176.42	Professional		$147.02	$169.07	$176.42