Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $138.04 / $281.84	Professional		$89.13	$138.04	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $177.83	Professional		$104.71	$134.90	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $141.25	Professional		$60.26	$95.50	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $263.03	Professional		$89.13	$134.90	$263.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $173.78	Professional		$112.20	$141.25	$173.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $134.90 / $223.87	Facility		$89.13	$134.90	$223.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $125.89	Professional		$57.54	$81.28	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $177.83	Professional		$83.18	$114.82	$177.83