Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.95 / $84.94 / $113.73	Facility		$74.95	$84.94	$113.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.37 / $102.52 / $290.50	Professional		$81.37	$102.52	$290.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.18 / $132.22 / $197.22	Professional		$110.18	$132.22	$197.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $72.00 / $107.00	Professional		$72.00	$72.00	$107.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.36 / $135.36 / $135.36	Facility		$135.36	$135.36	$135.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.32 / $120.79 / $232.03	Professional		$89.32	$120.79	$232.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.00 / $108.80 / $180.82	Facility		$94.00	$108.80	$180.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.51 / $112.99 / $162.82	Professional		$92.51	$112.99	$162.82
United Facility/Professional Professional Modifier Low / Median / High Price $83.02 / $104.57 / $167.12	Professional		$83.02	$104.57	$167.12