Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.17 / $122.43 / $199.07	Professional		$106.17	$122.43	$199.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.16 / $132.16 / $132.16	Professional		$132.16	$132.16	$132.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $122.02 / $195.66	Professional		$110.00	$122.02	$195.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $152.16	Facility		$100.00	$100.00	$152.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.24 / $159.38 / $260.23	Professional		$135.24	$159.38	$260.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.08 / $171.15 / $250.85	Facility		$112.08	$171.15	$250.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $171.15 / $171.15 / $800.00	Professional		$171.15	$171.15	$800.00
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 $114.24 / $138.11 / $213.49	Professional		$114.24	$138.11	$213.49