Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.88 / $129.07 / $151.84	Facility		$113.88	$129.07	$151.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $156.03 / $347.15	Professional		$124.00	$156.03	$347.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $128.94 / $287.23	Professional		$102.00	$128.94	$287.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.97 / $166.93 / $198.73	Professional		$158.97	$166.93	$198.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.57 / $157.57 / $157.57	Facility		$157.57	$157.57	$157.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.50 / $179.74 / $316.89	Professional		$149.50	$179.74	$316.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.84 / $182.21 / $274.68	Facility		$151.84	$182.21	$274.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $130.94 / $177.98	Professional		$81.20	$130.94	$177.98
United Facility/Professional Professional Modifier Low / Median / High Price $141.75 / $165.08 / $264.27	Professional		$141.75	$165.08	$264.27