Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.45 / $53.59 / $70.36	Facility		$30.45	$53.59	$70.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.91 / $153.37 / $241.40	Professional		$130.91	$153.37	$241.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $192.98 / $237.63 / $280.00	Professional		$192.98	$237.63	$280.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $220.63 / $307.70	Professional		$175.00	$220.63	$307.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $142.00 / $156.77	Facility		$142.00	$142.00	$156.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $142.00 / $146.03	Professional		$103.66	$142.00	$146.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $136.44 / $215.77 / $446.08	Facility		$136.44	$215.77	$446.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $215.77 / $215.77 / $215.77	Professional		$215.77	$215.77	$215.77
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 $95.68 / $131.41 / $191.71	Professional		$95.68	$131.41	$191.71