Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.73 / $147.63 / $295.80	Professional		$103.73	$147.63	$295.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.18 / $159.00 / $241.38	Professional		$114.18	$159.00	$241.38
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 $72.00 / $131.41 / $185.67	Professional		$72.00	$131.41	$185.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.08 / $152.08 / $152.08	Facility		$152.08	$152.08	$152.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.64 / $151.24 / $248.49	Professional		$101.64	$151.24	$248.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $106.21 / $142.78 / $249.05	Facility		$106.21	$142.78	$249.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $137.00 / $187.00	Professional		$80.00	$137.00	$187.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.74 / $108.85 / $152.38	Professional		$68.74	$108.85	$152.38
United Facility/Professional Professional Modifier Low / Median / High Price $109.64 / $147.47 / $223.54	Professional		$109.64	$147.47	$223.54