Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.91 / $139.12 / $848.27	Facility		$115.91	$139.12	$848.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.02 / $172.90 / $198.74	Professional		$155.02	$172.90	$198.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $99.37 / $99.37	Professional		$99.37	$99.37	$99.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.53 / $1,223.53 / $1,307.56	Facility		$1,223.53	$1,223.53	$1,307.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $147.54 / $239.16	Professional		$111.00	$147.54	$239.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $489.59 / $1,133.17	Facility		$38.36	$489.59	$1,133.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $60.16 / $259.22	Professional		$59.04	$60.16	$259.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.04 / $170.92 / $255.11	Facility		$151.04	$170.92	$255.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $166.03 / $166.03 / $166.03	Professional		$166.03	$166.03	$166.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.31 / $109.31 / $157.40	Professional		$109.31	$109.31	$157.40
United Facility/Professional Professional Modifier Low / Median / High Price $83.02 / $113.36 / $238.49	Professional		$83.02	$113.36	$238.49