Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.86 / $81.45 / $95.82	Facility		$71.86	$81.45	$95.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.45 / $101.91 / $249.86	Professional		$81.45	$101.91	$249.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.55 / $133.19 / $190.72	Professional		$106.55	$133.19	$190.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $63.00 / $119.87	Professional		$63.00	$63.00	$119.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $129.88 / $129.88	Facility		$129.88	$129.88	$129.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.89 / $126.87 / $228.22	Professional		$98.89	$126.87	$228.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.82 / $114.00 / $181.73	Facility		$95.82	$114.00	$181.73
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 $87.96 / $106.47 / $166.60	Professional		$87.96	$106.47	$166.60