Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $131.90 / $131.90	Facility		$131.90	$131.90	$131.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.98 / $131.90 / $233.36	Professional		$115.98	$131.90	$233.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $266.51 / $266.51 / $266.51	Professional		$266.51	$266.51	$266.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.77 / $101.58 / $118.84	Facility		$80.77	$101.58	$118.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $199.81 / $282.50	Professional		$155.00	$199.81	$282.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.70 / $175.81 / $194.12	Facility		$118.70	$175.81	$194.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $175.81 / $191.33	Professional		$128.34	$175.81	$191.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $118.59 / $191.00 / $418.54	Facility		$118.59	$191.00	$418.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $161.00	Professional		$150.00	$150.00	$161.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.08 / $180.08 / $180.08	Professional		$180.08	$180.08	$180.08
United Facility/Professional Professional Modifier Low / Median / High Price $88.64 / $131.77 / $168.70	Professional		$88.64	$131.77	$168.70