Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $257.04	Professional		$128.82	$158.49	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $295.12 / $346.74	Professional		$169.82	$295.12	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $190.55 / $524.81	Facility		$131.83	$190.55	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $338.84	Professional		$138.04	$138.04	$338.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $194.98	Professional		$147.91	$177.83	$194.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $234.42 / $467.74	Facility		$144.54	$234.42	$467.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $95.50	Professional		$93.33	$93.33	$95.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $199.53	Professional		$30.20	$30.20	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $181.97 / $398.11	Facility		$144.54	$181.97	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $194.98	Professional		$112.20	$147.91	$194.98