Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.90 / $145.90 / $145.90	Facility		$145.90	$145.90	$145.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $145.90 / $258.12	Professional		$145.90	$145.90	$258.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $265.30 / $265.30 / $265.30	Professional		$265.30	$265.30	$265.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $215.58 / $312.47	Professional		$171.00	$215.58	$312.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.29 / $190.69 / $210.54	Facility		$131.29	$190.69	$210.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $177.27 / $190.69	Professional		$139.19	$177.27	$190.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.18 / $212.00 / $462.96	Facility		$131.18	$212.00	$462.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $166.00 / $166.00 / $178.00	Professional		$166.00	$166.00	$178.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.19 / $199.19 / $199.19	Professional		$199.19	$199.19	$199.19
United Facility/Professional Professional Modifier Low / Median / High Price $99.69 / $145.75 / $196.97	Professional		$99.69	$145.75	$196.97