Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.98 / $94.74 / $132.19	Facility		$51.98	$94.74	$132.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.75 / $85.26 / $150.85	Professional		$71.75	$85.26	$150.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.23 / $172.27 / $210.00	Professional		$167.23	$172.27	$210.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.45 / $117.26 / $209.58	Facility		$81.45	$117.26	$209.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $126.08 / $182.61	Professional		$100.00	$126.08	$182.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.72 / $115.38 / $127.39	Facility		$76.72	$115.38	$127.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $108.01 / $141.93	Professional		$84.23	$108.01	$141.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $76.66 / $124.00 / $270.55	Facility		$76.66	$124.00	$270.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $97.00 / $104.00	Professional		$97.00	$97.00	$104.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.40 / $116.40 / $116.40	Professional		$116.40	$116.40	$116.40
United Facility/Professional Professional Modifier Low / Median / High Price $57.30 / $81.70 / $103.60	Professional		$57.30	$81.70	$103.60