Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $138.04 / $162.18	Facility		$120.23	$138.04	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $177.83	Professional		$97.72	$125.89	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $144.54	Professional		$89.13	$109.65	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $204.17	Professional		$128.82	$158.49	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $245.47	Professional		$102.33	$154.88	$245.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $147.91 / $218.78	Facility		$123.03	$147.91	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $128.82	Professional		$102.33	$102.33	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $229.09	Professional		$104.71	$144.54	$229.09