Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.43 / $199.15 / $320.75	Professional		$164.43	$199.15	$320.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.61 / $188.95 / $273.77	Professional		$160.61	$188.95	$273.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.95 / $248.00 / $352.32	Professional		$188.95	$248.00	$352.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.74 / $228.74 / $228.74	Facility		$228.74	$228.74	$228.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.04 / $222.57 / $423.70	Professional		$172.04	$222.57	$423.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $174.02 / $191.12 / $331.93	Facility		$174.02	$191.12	$331.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $129.77 / $189.24 / $440.08	Professional		$129.77	$189.24	$440.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.80 / $225.98 / $357.07	Professional		$164.80	$225.98	$357.07
United Facility/Professional Professional Modifier Low / Median / High Price $145.34 / $179.83 / $280.31	Professional		$145.34	$179.83	$280.31