Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $177.83 / $213.80	Professional		$158.49	$177.83	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $213.80	Professional		$194.98	$208.93	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $186.21 / $263.03	Facility		$154.88	$186.21	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47