Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.27 / $219.98 / $404.83	Professional		$158.27	$219.98	$404.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $258.31 / $266.93 / $451.68	Professional		$258.31	$266.93	$451.68
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $258.31 / $258.31 / $258.31	Professional	25	$258.31	$258.31	$258.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.94 / $98.94 / $98.94	Facility		$98.94	$98.94	$98.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.33 / $257.33 / $257.33	Facility		$257.33	$257.33	$257.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.74 / $260.86 / $432.06	Professional		$179.74	$260.86	$432.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.63 / $260.00 / $390.04	Facility		$162.63	$260.00	$390.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $224.39 / $260.00 / $627.30	Professional		$224.39	$260.00	$627.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $219.62 / $299.03 / $471.55	Professional		$219.62	$299.03	$471.55
United Facility/Professional Professional Modifier Low / Median / High Price $205.14 / $251.85 / $410.62	Professional		$205.14	$251.85	$410.62