Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $154.88 / $257.04	Professional		$138.04	$154.88	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $128.82 / $151.36	Professional		$63.10	$128.82	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $218.78	Professional		$104.71	$134.90	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $371.54	Professional		$144.54	$199.53	$371.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $295.12	Professional		$117.49	$117.49	$295.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
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 $131.83 / $181.97 / $331.13	Professional		$131.83	$181.97	$331.13