Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.24 / $123.81 / $220.83	Facility		$109.24	$123.81	$220.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.81 / $180.90 / $388.70	Professional		$123.81	$180.90	$388.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $161.66 / $193.99 / $289.37	Professional		$161.66	$193.99	$289.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $127.00 / $207.00	Professional		$127.00	$127.00	$207.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.63 / $197.63 / $197.63	Facility		$197.63	$197.63	$197.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.04 / $219.41 / $387.65	Professional		$169.04	$219.41	$387.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $148.91 / $204.99 / $321.00	Facility		$148.91	$204.99	$321.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $189.30 / $270.93	Professional		$155.75	$189.30	$270.93
United Facility/Professional Professional Modifier Low / Median / High Price $158.02 / $197.86 / $297.47	Professional		$158.02	$197.86	$297.47