Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.43 / $125.43 / $125.43	Facility		$125.43	$125.43	$125.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.92 / $159.44 / $281.73	Professional		$119.92	$159.44	$281.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $171.49 / $247.89	Professional		$140.00	$171.49	$247.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.11 / $174.56 / $216.42	Professional		$147.11	$174.56	$216.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.68 / $178.68 / $178.68	Facility		$178.68	$178.68	$178.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.69 / $186.41 / $272.22	Professional		$144.69	$186.41	$272.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.57 / $201.00 / $299.33	Facility		$147.57	$201.00	$299.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $209.00 / $249.90	Professional		$130.00	$209.00	$249.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $137.94 / $177.94	Professional		$78.91	$137.94	$177.94
United Facility/Professional Professional Modifier Low / Median / High Price $151.96 / $180.24 / $286.20	Professional		$151.96	$180.24	$286.20