Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $213.80	Professional		$117.49	$144.54	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $131.83 / $165.96	Professional		$38.90	$131.83	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $323.59	Professional		$128.82	$177.83	$323.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $223.87	Professional		$162.18	$194.98	$223.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
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 $112.20 / $144.54 / $218.78	Professional		$112.20	$144.54	$218.78