Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.10 / $90.10 / $92.02	Facility		$84.10	$90.10	$92.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $114.37 / $256.70	Professional		$76.54	$114.37	$256.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.23 / $130.19 / $194.23	Professional		$73.23	$130.19	$194.23
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 $70.00 / $103.96 / $148.16	Professional		$70.00	$103.96	$148.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.80 / $114.80 / $114.80	Facility		$114.80	$114.80	$114.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.73 / $116.01 / $190.44	Professional		$75.73	$116.01	$190.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.15 / $108.93 / $192.93	Facility		$80.15	$108.93	$192.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $96.00 / $145.00	Professional		$55.00	$96.00	$145.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.83 / $94.40 / $132.15	Professional		$55.83	$94.40	$132.15
United Facility/Professional Professional Modifier Low / Median / High Price $83.23 / $113.86 / $173.92	Professional		$83.23	$113.86	$173.92