Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.62 / $156.43 / $267.00	Facility		$131.62	$156.43	$267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.48 / $160.16 / $275.60	Professional		$123.48	$160.16	$275.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $140.37 / $172.69 / $275.02	Professional		$140.37	$172.69	$275.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.63 / $182.79 / $240.96	Professional		$160.63	$182.79	$240.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $160.32 / $301.18	Professional		$70.00	$160.32	$301.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $135.94 / $180.98 / $265.05	Facility		$135.94	$180.98	$265.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $110.67 / $135.00 / $160.63	Professional		$110.67	$135.00	$160.63
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 $125.07 / $167.90 / $271.29	Professional		$125.07	$167.90	$271.29