Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.09 / $149.09 / $149.09	Facility		$149.09	$149.09	$149.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.09 / $149.09 / $263.76	Professional		$149.09	$149.09	$263.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $195.79 / $195.79 / $195.79	Professional		$195.79	$195.79	$195.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $220.63 / $319.29	Professional		$175.00	$220.63	$319.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.16 / $188.22 / $207.80	Facility		$134.16	$188.22	$207.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $181.14 / $188.22	Professional		$137.40	$181.14	$188.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.04 / $216.00 / $473.07	Facility		$134.04	$216.00	$473.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.00 / $169.00 / $182.00	Professional		$169.00	$169.00	$182.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $203.54 / $203.54 / $203.54	Professional		$203.54	$203.54	$203.54
United Facility/Professional Facility Modifier Low / Median / High Price $204.62 / $204.62 / $204.62	Facility		$204.62	$204.62	$204.62
United Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $150.28 / $190.67	Professional		$101.19	$150.28	$190.67