Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.13 / $126.53 / $148.85	Facility		$110.13	$126.53	$148.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.92 / $119.76 / $169.10	Professional		$90.92	$119.76	$169.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $108.37 / $130.27	Professional		$81.28	$108.37	$130.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $103.00 / $127.00	Professional		$103.00	$103.00	$127.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $134.00 / $190.74	Professional		$96.00	$134.00	$190.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.17 / $135.36 / $193.01	Facility		$103.17	$135.36	$193.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.89 / $149.98 / $235.63	Professional		$109.89	$149.98	$235.63
United Facility/Professional Professional Modifier Low / Median / High Price $120.21 / $143.13 / $224.84	Professional		$120.21	$143.13	$224.84