Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.32 / $284.32 / $284.32	Facility		$284.32	$284.32	$284.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.58 / $274.14 / $325.26	Professional		$258.58	$274.14	$325.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.76 / $285.20 / $285.20	Professional		$133.76	$285.20	$285.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.20 / $285.20 / $285.20	Professional		$285.20	$285.20	$285.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $22.70 / $22.70	Professional		$22.70	$22.70	$22.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $252.92 / $281.48 / $363.11	Facility		$252.92	$281.48	$363.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00