Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.89 / $222.89 / $270.39	Professional		$222.89	$222.89	$270.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.81 / $104.81 / $104.81	Professional		$104.81	$104.81	$104.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $550.00 / $693.40	Professional		$440.00	$550.00	$693.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.40 / $193.40 / $285.92	Facility		$193.40	$193.40	$285.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.39 / $193.40 / $258.98	Professional		$164.39	$193.40	$258.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.95 / $232.15 / $444.41	Facility		$181.95	$232.15	$444.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $232.15 / $420.00 / $420.00	Professional		$232.15	$420.00	$420.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.75 / $27.75 / $37.00	Professional		$27.75	$27.75	$37.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $25.06 / $199.76	Professional		$14.25	$25.06	$199.76