Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.84 / $109.13 / $177.93	Facility		$81.84	$109.13	$177.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $131.24 / $328.79	Professional		$92.76	$131.24	$328.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.22 / $145.46 / $218.20	Professional		$121.22	$145.46	$218.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $110.00 / $141.00	Professional		$110.00	$110.00	$141.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.03 / $149.03 / $149.03	Facility		$149.03	$149.03	$149.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.78 / $149.36 / $274.10	Professional		$123.78	$149.36	$274.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $111.56 / $140.69 / $220.77	Facility		$111.56	$140.69	$220.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.13 / $151.04 / $216.86	Professional		$124.13	$151.04	$216.86
United Facility/Professional Professional Modifier Low / Median / High Price $108.02 / $133.85 / $213.34	Professional		$108.02	$133.85	$213.34