Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.10 / $90.10 / $90.10	Facility		$90.10	$90.10	$90.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.38 / $127.46 / $272.76	Professional		$87.38	$127.46	$272.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.10 / $145.19 / $215.12	Professional		$95.10	$145.19	$215.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.15 / $133.22 / $148.22	Facility		$133.15	$133.22	$148.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.03 / $120.18 / $159.69	Professional		$73.03	$120.18	$159.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.60 / $125.60 / $125.60	Facility		$125.60	$125.60	$125.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.91 / $129.71 / $210.57	Professional		$82.91	$129.71	$210.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.75 / $120.95 / $210.47	Facility		$87.75	$120.95	$210.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $116.00 / $161.00	Professional		$75.00	$116.00	$161.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.69 / $93.19 / $131.91	Professional		$56.69	$93.19	$131.91
United Facility/Professional Professional Modifier Low / Median / High Price $96.55 / $125.68 / $192.77	Professional		$96.55	$125.68	$192.77