Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $123.03 / $338.84	Facility		$114.82	$123.03	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $181.97	Professional		$95.50	$131.83	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $134.90	Professional		$97.72	$123.03	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $89.13 / $162.18	Facility		$35.48	$89.13	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $141.25 / $169.82	Professional		$131.83	$141.25	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $141.25 / $380.19	Facility		$28.18	$141.25	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $128.82 / $173.78	Professional		$30.20	$128.82	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $134.90	Facility		$125.89	$125.89	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $134.90 / $141.25	Professional		$117.49	$134.90	$141.25