Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.83 / $382.50 / $1,222.16	Facility		$105.83	$382.50	$1,222.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $104.54 / $135.29	Professional		$85.59	$104.54	$135.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.30 / $78.30 / $78.30	Professional		$78.30	$78.30	$78.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $310.01 / $331.30 / $1,030.24	Facility		$310.01	$331.30	$1,030.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $147.54 / $199.20	Professional		$111.00	$147.54	$199.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $459.10 / $892.81	Facility		$38.36	$459.10	$892.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $82.33 / $204.38	Professional		$59.04	$82.33	$204.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.44 / $134.66 / $201.30	Facility		$117.44	$134.66	$201.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $122.99 / $122.99 / $122.99	Professional		$122.99	$122.99	$122.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.12 / $86.12 / $124.02	Professional		$86.12	$86.12	$124.02
United Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $92.24 / $184.49	Professional		$61.50	$92.24	$184.49