Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.05 / $213.05 / $213.05	Facility		$213.05	$213.05	$213.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.96 / $213.05 / $233.33	Professional		$115.96	$213.05	$233.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.53 / $186.53 / $186.53	Professional		$186.53	$186.53	$186.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.03 / $220.63 / $307.70	Professional		$165.03	$220.63	$307.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.39 / $178.39 / $178.39	Facility		$178.39	$178.39	$178.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $168.66 / $209.38	Professional		$130.22	$168.66	$209.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $129.99 / $223.70 / $418.49	Facility		$129.99	$223.70	$418.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $178.00 / $178.00 / $178.00	Professional		$178.00	$178.00	$178.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.06 / $180.06 / $3,000.00	Professional		$180.06	$180.06	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.63 / $129.62 / $189.75	Professional		$88.63	$129.62	$189.75