Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $128.82	Professional		$83.18	$102.33	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $223.87	Professional		$144.54	$186.21	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $144.54	Facility		$114.82	$114.82	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $204.17	Professional		$97.72	$114.82	$204.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $128.82 / $275.42	Facility		$85.11	$128.82	$275.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $70.79	Professional		$60.26	$60.26	$70.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $114.82	Professional		$64.57	$87.10	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $77.62 / $123.03	Facility		$10.23	$77.62	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $154.88	Professional		$70.79	$93.33	$154.88