Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $239.88 / $741.31	Facility		$181.97	$239.88	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $218.78	Professional		$173.78	$173.78	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $165.96 / $302.00	Facility		$74.13	$165.96	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $239.88	Professional		$173.78	$208.93	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $173.78 / $251.19	Facility		$162.18	$173.78	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $186.21	Professional		$173.78	$173.78	$186.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $123.03	Professional		$83.18	$97.72	$123.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $177.83 / $269.15	Facility		$109.65	$177.83	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $436.52 / $436.52	Professional		$30.20	$436.52	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $173.78 / $371.54	Facility		$165.96	$173.78	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $194.98	Professional		$147.91	$186.21	$194.98