Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $616.60	Professional		$97.72	$151.36	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $112.20 / $199.53	Professional		$102.33	$112.20	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $120.23 / $199.53	Professional		$109.65	$120.23	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $186.21 / $186.21	Facility		$100.00	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $269.15	Professional		$114.82	$147.91	$269.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $169.82 / $177.83	Professional		$158.49	$169.82	$177.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $144.54 / $251.19	Facility		$102.33	$144.54	$251.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $194.98	Professional		$104.71	$125.89	$194.98