Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $125.89 / $147.91	Facility		$109.65	$125.89	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $194.98	Professional		$93.33	$123.03	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $120.23	Professional		$74.13	$100.00	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $125.89	Professional		$102.33	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $181.97	Professional		$95.50	$134.90	$181.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $134.90 / $194.98	Facility		$102.33	$134.90	$194.98
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 $102.33 / $131.83 / $199.53	Professional		$102.33	$131.83	$199.53