Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.79 / $136.88 / $161.05	Facility		$120.79	$136.88	$161.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.01 / $124.37 / $171.66	Professional		$98.01	$124.37	$171.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $90.15 / $128.36	Professional		$25.00	$90.15	$128.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.36 / $144.90 / $192.54	Professional		$128.36	$144.90	$192.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $166.00 / $246.08	Professional		$102.00	$166.00	$246.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $116.64 / $151.63 / $227.45	Facility		$116.64	$151.63	$227.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.13 / $120.27 / $128.36	Professional		$60.13	$120.27	$128.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.16 / $149.95 / $235.63	Professional		$109.16	$149.95	$235.63
United Facility/Professional Professional Modifier Low / Median / High Price $103.33 / $141.31 / $219.86	Professional		$103.33	$141.31	$219.86