Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.39 / $133.32 / $210.59	Professional		$109.39	$133.32	$210.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.06 / $217.56 / $217.56	Professional		$111.06	$217.56	$217.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.65 / $163.86 / $163.86	Professional		$149.65	$163.86	$163.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $115.76 / $115.76	Professional		$115.76	$115.76	$115.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $126.61 / $133.32 / $230.04	Facility		$126.61	$133.32	$230.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.92 / $152.39 / $243.47	Professional		$109.92	$152.39	$243.47
United Facility/Professional Professional Modifier Low / Median / High Price $113.34 / $133.59 / $250.10	Professional		$113.34	$133.59	$250.10