Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.45 / $51.86 / $66.52	Facility		$30.45	$51.86	$66.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.46 / $136.44 / $241.40	Professional		$116.46	$136.44	$241.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $179.19 / $179.19 / $275.68	Professional		$179.19	$179.19	$275.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.52 / $83.29 / $449.78	Facility		$65.52	$83.29	$449.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $215.37 / $307.70	Professional		$175.00	$215.37	$307.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.59 / $135.00 / $149.05	Facility		$35.59	$135.00	$149.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $178.00 / $219.65	Professional		$98.55	$178.00	$219.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $122.68 / $198.00 / $432.96	Facility		$122.68	$198.00	$432.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $154.00 / $167.00	Professional		$154.00	$154.00	$167.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $186.29 / $186.29 / $186.29	Professional		$186.29	$186.29	$186.29
United Facility/Professional Professional Modifier Low / Median / High Price $91.69 / $129.46 / $165.74	Professional		$91.69	$129.46	$165.74