Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $141.25 / $457.09	Professional		$91.20	$141.25	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $109.65 / $257.04	Professional		$100.00	$109.65	$257.04
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 $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $263.03	Professional		$109.65	$141.25	$263.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $162.18 / $173.78	Professional		$151.36	$162.18	$173.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $141.25 / $239.88	Facility		$97.72	$141.25	$239.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
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 $100.00 / $123.03 / $186.21	Professional		$100.00	$123.03	$186.21