Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $169.82	Professional		$57.54	$75.86	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $120.23	Professional		$54.95	$66.07	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $616.60 / $1,621.81	Facility		$331.13	$616.60	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $125.89 / $194.98	Professional		$63.10	$125.89	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $181.97	Professional		$67.61	$97.72	$181.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $107.15	Professional		$104.71	$104.71	$107.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $95.50 / $158.49	Facility		$69.18	$95.50	$158.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $117.49	Professional		$60.26	$72.44	$117.49