Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $151.36 / $151.36	Facility		$112.20	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $416.87	Professional		$114.82	$169.82	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $288.40	Professional		$109.65	$154.88	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $169.82 / $208.93	Professional		$158.49	$169.82	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $338.84	Professional		$147.91	$186.21	$338.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $204.17 / $309.03	Facility		$151.36	$204.17	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $173.78	Professional		$81.28	$125.89	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $269.15	Professional		$138.04	$165.96	$269.15