Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.42 / $122.62 / $617.50	Professional		$100.42	$122.62	$617.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.05 / $120.05 / $120.05	Professional		$120.05	$120.05	$120.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $121.53 / $195.66	Professional		$110.00	$121.53	$195.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $138.29	Facility		$100.00	$100.00	$138.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.07 / $143.18 / $237.01	Professional		$122.07	$143.18	$237.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.08 / $150.72 / $208.81	Facility		$102.08	$150.72	$208.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $150.72 / $293.80	Professional		$140.00	$150.72	$293.80
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 $101.63 / $123.10 / $197.34	Professional		$101.63	$123.10	$197.34