Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $190.55	Professional		$125.89	$151.36	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $331.13	Professional		$218.78	$275.42	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $162.18 / $223.87	Facility		$158.49	$162.18	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $275.42	Professional		$138.04	$162.18	$275.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $190.55 / $426.58	Facility		$123.03	$190.55	$426.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $109.65	Professional		$93.33	$93.33	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $134.90 / $181.97	Professional		$18.20	$134.90	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $109.65 / $169.82	Facility		$14.79	$109.65	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $229.09	Professional		$104.71	$144.54	$229.09