Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.92 / $127.63 / $225.22	Professional		$80.92	$127.63	$225.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $123.65 / $221.33	Professional		$70.50	$123.65	$221.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $34.02 / $71.56	Facility		$28.52	$34.02	$71.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.27 / $103.98 / $157.11	Professional		$64.27	$103.98	$157.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.94 / $130.94 / $130.94	Facility		$130.94	$130.94	$130.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.61 / $133.60 / $217.35	Professional		$85.61	$133.60	$217.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.83 / $123.65 / $219.62	Facility		$89.83	$123.65	$219.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $116.00 / $166.00	Professional		$65.00	$116.00	$166.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $95.37 / $135.76	Professional		$57.43	$95.37	$135.76
United Facility/Professional Professional Modifier Low / Median / High Price $97.77 / $130.77 / $198.96	Professional		$97.77	$130.77	$198.96