Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $89.13 / $151.36	Facility		$87.10	$89.13	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $269.15	Professional		$134.90	$173.78	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $234.42 / $281.84	Professional		$199.53	$234.42	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $363.08	Professional		$181.97	$309.03	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $218.78 / $549.54	Facility		$138.04	$218.78	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $389.05	Professional		$158.49	$158.49	$389.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $186.21 / $208.93	Professional		$154.88	$186.21	$208.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $245.47 / $524.81	Facility		$151.36	$245.47	$524.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $100.00	Professional		$97.72	$97.72	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $208.93	Professional		$30.20	$30.20	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $194.98 / $416.87	Facility		$151.36	$194.98	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $208.93	Professional		$120.23	$154.88	$208.93