Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $181.97	Professional		$87.10	$107.15	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $169.82	Professional		$120.23	$120.23	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $199.53 / $251.19	Professional		$109.65	$199.53	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $141.25 / $331.13	Facility		$89.13	$141.25	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $245.47	Professional		$102.33	$102.33	$245.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $138.04	Professional		$104.71	$104.71	$138.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $158.49 / $331.13	Facility		$102.33	$158.49	$331.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $141.25	Professional		$30.20	$30.20	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $109.65 / $257.04	Facility		$0.15	$109.65	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $131.83	Professional		$77.62	$104.71	$131.83