Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.55 / $122.18 / $184.59	Professional		$111.55	$122.18	$184.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.31 / $120.28 / $120.28	Professional		$107.31	$120.28	$120.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.00 / $247.00 / $737.00	Facility		$152.00	$247.00	$737.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.77 / $192.87 / $286.97	Professional		$113.77	$192.87	$286.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.44 / $139.44 / $139.44	Facility		$139.44	$139.44	$139.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.44 / $157.15 / $276.30	Professional		$113.44	$157.15	$276.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.19 / $148.00 / $256.43	Facility		$117.19	$148.00	$256.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $151.00 / $294.89	Professional		$139.00	$151.00	$294.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.89 / $151.04 / $235.63	Professional		$109.89	$151.04	$235.63
United Facility/Professional Professional Modifier Low / Median / High Price $98.80 / $122.69 / $188.46	Professional		$98.80	$122.69	$188.46