Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.95 / $92.88 / $109.27	Facility		$81.95	$92.88	$109.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.67 / $125.92 / $203.62	Professional		$89.67	$125.92	$203.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.94 / $92.94 / $92.94	Professional		$92.94	$92.94	$92.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.78 / $115.27 / $137.22	Professional		$109.78	$115.27	$137.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.69 / $113.69 / $113.69	Facility		$113.69	$113.69	$113.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.26 / $126.40 / $219.49	Professional		$103.26	$126.40	$219.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.27 / $126.70 / $204.00	Facility		$109.27	$126.70	$204.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.54 / $94.40 / $122.53	Professional		$58.54	$94.40	$122.53
United Facility/Professional Professional Modifier Low / Median / High Price $97.36 / $115.17 / $176.93	Professional		$97.36	$115.17	$176.93