Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.10 / $200.82 / $254.28	Facility		$114.10	$200.82	$254.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.01 / $164.59 / $207.39	Professional		$154.01	$164.59	$207.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.40 / $125.40 / $125.40	Professional		$125.40	$125.40	$125.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.60 / $187.04 / $224.45	Professional		$164.60	$187.04	$224.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Facility		$175.41	$175.41	$175.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Professional		$175.41	$175.41	$175.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $164.60 / $187.04 / $222.21	Facility		$164.60	$187.04	$222.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $136.84 / $191.71	Professional		$30.00	$136.84	$191.71
United Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $180.21 / $187.09	Professional		$156.69	$180.21	$187.09