Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $162.18	Facility		$158.49	$158.49	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $162.18 / $229.09	Professional		$141.25	$162.18	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $288.40	Professional		$131.83	$158.49	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,754.23 / $4,786.30	Facility		$1,548.82	$2,754.23	$4,786.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $239.88	Professional		$134.90	$173.78	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $309.03	Professional		$162.18	$194.98	$309.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $173.78 / $302.00	Facility		$144.54	$173.78	$302.00
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 $138.04 / $169.82 / $275.42	Professional		$138.04	$169.82	$275.42