Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $125.89	Facility		$117.49	$117.49	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $93.33 / $104.71	Professional		$91.20	$93.33	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $102.33	Professional		$75.86	$87.10	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $102.33 / $131.83	Professional		$93.33	$102.33	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $102.33 / $173.78	Facility		$91.20	$102.33	$173.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $112.20	Professional		$30.20	$30.20	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $141.25	Professional		$74.13	$91.20	$141.25