Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $208.93	Professional		$72.44	$112.20	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $199.53	Professional		$83.18	$112.20	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $138.04	Professional		$95.50	$117.49	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $218.78	Professional		$91.20	$125.89	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $181.97	Professional		$117.49	$147.91	$181.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $138.04 / $218.78	Facility		$91.20	$138.04	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $83.18 / $117.49	Professional		$51.29	$83.18	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $173.78	Professional		$83.18	$112.20	$173.78