Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.85 / $155.51 / $302.39	Facility		$108.85	$155.51	$302.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.70 / $155.24 / $359.25	Professional		$103.70	$155.24	$359.25
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $94.77 / $179.65 / $373.10	Professional	25	$94.77	$179.65	$373.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.35 / $177.91 / $278.72	Professional		$132.35	$177.91	$278.72
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $133.74 / $167.39 / $278.72	Professional	25	$133.74	$167.39	$278.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.07 / $260.82 / $572.85	Facility		$218.07	$260.82	$572.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $105.00 / $159.33	Professional		$93.00	$105.00	$159.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $178.29 / $238.15	Facility		$95.00	$178.29	$238.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.40 / $163.00 / $277.64	Professional		$116.40	$163.00	$277.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $161.81 / $276.16	Facility		$116.00	$161.81	$276.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.00 / $202.00	Professional		$100.00	$147.00	$202.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.10 / $187.32 / $297.71	Professional		$135.10	$187.32	$297.71
United Facility/Professional Professional Modifier Low / Median / High Price $127.51 / $158.19 / $256.97	Professional		$127.51	$158.19	$256.97