Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.45 / $118.30 / $440.29	Professional		$96.45	$118.30	$440.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.62 / $163.63 / $192.51	Professional		$115.62	$163.63	$192.51
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 / $132.90	Facility		$100.00	$100.00	$132.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.42 / $137.59 / $228.30	Professional		$117.42	$137.59	$228.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.33 / $144.97 / $201.13	Facility		$98.33	$144.97	$201.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $144.97 / $144.97 / $281.95	Professional		$144.97	$144.97	$281.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.42 / $113.57 / $178.53	Professional		$82.42	$113.57	$178.53
United Facility/Professional Professional Modifier Low / Median / High Price $100.02 / $119.50 / $190.15	Professional		$100.02	$119.50	$190.15