Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $213.80	Professional		$100.00	$128.82	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $181.97	Professional		$177.83	$177.83	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $223.87 / $281.84	Professional		$125.89	$223.87	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $151.36 / $380.19	Facility		$93.33	$151.36	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $275.42	Professional		$112.20	$112.20	$275.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $154.88	Professional		$120.23	$120.23	$154.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $177.83 / $380.19	Facility		$114.82	$177.83	$380.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $69.18	Professional		$67.61	$67.61	$69.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $123.03 / $288.40	Facility		$0.17	$123.03	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $151.36	Professional		$89.13	$117.49	$151.36