Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $109.65 / $338.84	Facility		$83.18	$109.65	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $112.20	Professional		$79.43	$79.43	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $95.50 / $169.82	Facility		$31.62	$95.50	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $93.33 / $107.15	Professional		$81.28	$93.33	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $79.43 / $107.15	Facility		$75.86	$79.43	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $87.10	Professional		$79.43	$79.43	$87.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $56.23 / $74.13	Professional		$50.12	$56.23	$74.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $83.18 / $131.83	Facility		$60.26	$83.18	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $194.98 / $199.53	Professional		$30.20	$194.98	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $79.43 / $173.78	Facility		$77.62	$79.43	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $85.11 / $89.13	Professional		$67.61	$85.11	$89.13