Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.50 / $195.83 / $312.83	Facility		$143.50	$195.83	$312.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.03 / $195.83 / $225.00	Professional		$114.03	$195.83	$225.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.24 / $124.24 / $124.24	Professional		$124.24	$124.24	$124.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.85 / $168.62 / $300.54	Facility		$82.85	$168.62	$300.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.74 / $230.39 / $276.47	Professional		$202.74	$230.39	$276.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.17 / $215.17 / $215.17	Facility		$215.17	$215.17	$215.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.17 / $215.17 / $215.17	Professional		$215.17	$215.17	$215.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $86.67 / $215.41 / $264.37	Facility		$86.67	$215.41	$264.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.43 / $179.95 / $236.15	Professional		$133.43	$179.95	$236.15
United Facility/Professional Professional Modifier Low / Median / High Price $192.12 / $220.94 / $230.39	Professional		$192.12	$220.94	$230.39