Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $389.05	Professional		$95.50	$123.03	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $173.78	Professional		$81.28	$85.11	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $97.72 / $131.83	Professional		$41.69	$97.72	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $269.15	Professional		$104.71	$138.04	$269.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $154.88 / $181.97	Professional		$141.25	$154.88	$181.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
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 $87.10 / $109.65 / $165.96	Professional		$87.10	$109.65	$165.96