Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.07 / $162.07 / $162.07	Facility		$162.07	$162.07	$162.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.50 / $153.37 / $174.18	Professional		$84.50	$153.37	$174.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.85 / $126.85 / $126.85	Professional		$126.85	$126.85	$126.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $305.43 / $563.14 / $937.94	Facility		$305.43	$563.14	$937.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $195.00 / $282.27	Professional		$118.00	$195.00	$282.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.20 / $275.20 / $275.20	Facility		$275.20	$275.20	$275.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.07 / $260.18 / $313.64	Professional		$164.07	$260.18	$313.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $152.91 / $171.55 / $281.58	Facility		$152.91	$171.55	$281.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $153.40	Professional		$30.00	$30.00	$153.40
United Facility/Professional Professional Modifier Low / Median / High Price $79.58 / $119.37 / $242.93	Professional		$79.58	$119.37	$242.93