Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $251.19	Professional		$114.82	$147.91	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $288.40 / $338.84	Professional		$186.21	$288.40	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $213.80 / $371.54	Facility		$144.54	$213.80	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $257.04	Professional		$158.49	$158.49	$257.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $229.09	Professional		$186.21	$204.17	$229.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $251.19 / $512.86	Facility		$131.83	$251.19	$512.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $104.71	Professional		$102.33	$102.33	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $218.78	Professional		$30.20	$30.20	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $204.17 / $407.38	Facility		$162.18	$204.17	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $218.78	Professional		$107.15	$162.18	$218.78