Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $113.99 / $199.15	Professional		$82.28	$113.99	$199.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.72 / $142.00 / $207.09	Professional		$130.72	$142.00	$207.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.44 / $117.28 / $146.13	Professional		$92.44	$117.28	$146.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $117.95 / $117.95	Facility		$117.95	$117.95	$117.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.99 / $124.81 / $182.90	Professional		$92.99	$124.81	$182.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $96.80 / $135.58 / $208.87	Facility		$96.80	$135.58	$208.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $147.00 / $169.31	Professional		$110.00	$147.00	$169.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.46 / $90.77 / $121.01	Professional		$54.46	$90.77	$121.01
United Facility/Professional Professional Modifier Low / Median / High Price $101.17 / $121.69 / $188.93	Professional		$101.17	$121.69	$188.93