Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.05 / $231.17 / $266.76	Facility		$85.05	$231.17	$266.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.33 / $169.96 / $214.14	Professional		$151.33	$169.96	$214.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.83 / $121.83 / $121.83	Professional		$121.83	$121.83	$121.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.89 / $177.69 / $318.70	Facility		$76.89	$177.69	$318.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.96 / $199.95 / $238.44	Professional		$175.96	$199.95	$238.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.76 / $186.76 / $186.76	Facility		$186.76	$186.76	$186.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.76 / $186.76 / $186.76	Professional		$186.76	$186.76	$186.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $199.95 / $229.45	Facility		$169.96	$199.95	$229.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $150.28 / $204.95	Professional		$120.23	$150.28	$204.95
United Facility/Professional Professional Modifier Low / Median / High Price $166.75 / $191.76 / $199.95	Professional		$166.75	$191.76	$199.95