Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $181.97 / $316.23	Facility		$107.15	$181.97	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $263.03	Professional		$125.89	$194.98	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $186.21	Professional		$123.03	$154.88	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $186.21 / $309.03	Facility		$97.72	$186.21	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $239.88 / $275.42	Professional		$229.09	$239.88	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $229.09 / $263.03	Facility		$87.10	$229.09	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $165.96 / $234.42	Professional		$30.20	$165.96	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $229.09	Professional		$181.97	$218.78	$229.09