Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.60 / $141.75 / $511.00	Professional		$115.60	$141.75	$511.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.21 / $199.86 / $235.13	Professional		$141.21	$199.86	$235.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $474.30 / $604.44 / $934.43	Facility		$474.30	$604.44	$934.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.00 / $312.66 / $503.38	Professional		$283.00	$312.66	$503.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.16 / $162.16 / $162.16	Facility		$162.16	$162.16	$162.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $169.72 / $276.27	Professional		$144.00	$169.72	$276.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $118.99 / $181.09 / $250.26	Facility		$118.99	$181.09	$250.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $181.09 / $344.84	Professional		$125.00	$181.09	$344.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.92 / $151.88 / $235.63	Professional		$109.92	$151.88	$235.63
United Facility/Professional Professional Modifier Low / Median / High Price $119.92 / $146.47 / $223.19	Professional		$119.92	$146.47	$223.19