Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $107.15 / $9,772.37	Facility		$89.13	$107.15	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $144.54 / $295.12	Professional		$85.11	$144.54	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $186.21	Professional		$95.50	$123.03	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $83.18 / $173.78	Facility		$67.61	$83.18	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $141.25	Professional		$64.57	$91.20	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $251.19	Professional		$83.18	$125.89	$251.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $158.49	Professional		$102.33	$125.89	$158.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $125.89 / $208.93	Facility		$85.11	$125.89	$208.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $87.10 / $117.49	Professional		$54.95	$87.10	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $165.96	Professional		$75.86	$104.71	$165.96