Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.56 / $44,244.93 / $44,244.93	Facility		$163.56	$44,244.93	$44,244.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.45 / $185.31 / $231.18	Professional		$165.45	$185.31	$231.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.21 / $180.21 / $180.21	Professional		$180.21	$180.21	$180.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.99 / $191.46 / $328.39	Facility		$92.99	$191.46	$328.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $206.44 / $250.76	Professional		$183.48	$206.44	$250.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.09 / $183.48 / $216.06	Facility		$173.09	$183.48	$216.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $194.62	Professional		$183.48	$183.48	$194.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.16 / $183.48 / $312.30	Facility		$125.16	$183.48	$312.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.16 / $125.16 / $281.23	Professional		$125.16	$125.16	$281.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $182.59 / $185.81 / $442.27	Professional		$182.59	$185.81	$442.27
United Facility/Professional Professional Modifier Low / Median / High Price $159.63 / $194.49 / $204.25	Professional		$159.63	$194.49	$204.25