Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.71 / $158.84 / $271.00	Facility		$105.71	$158.84	$271.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.50 / $144.22 / $254.03	Professional		$109.50	$144.22	$254.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $141.03 / $190.39	Professional		$96.00	$141.03	$190.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.03 / $162.88 / $211.55	Professional		$141.03	$162.88	$211.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.13 / $146.88 / $249.21	Professional		$94.13	$146.88	$249.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.22 / $169.81 / $238.58	Facility		$131.22	$169.81	$238.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $115.00 / $141.03	Professional		$65.00	$115.00	$141.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.39 / $186.55 / $286.80	Professional		$137.39	$186.55	$286.80
United Facility/Professional Professional Modifier Low / Median / High Price $115.94 / $151.27 / $235.36	Professional		$115.94	$151.27	$235.36