Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $91.20 / $109.65	Facility		$81.28	$91.20	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $275.42	Professional		$81.28	$125.89	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $144.54	Professional		$79.43	$100.00	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $117.49 / $141.25	Professional		$109.65	$117.49	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $229.09	Professional		$102.33	$128.82	$229.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $144.54 / $234.42	Facility		$109.65	$144.54	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $91.20 / $120.23	Professional		$58.88	$91.20	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $181.97	Professional		$95.50	$112.20	$181.97