Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.90 / $70.79	Facility		$30.20	$30.90	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $239.88	Professional		$114.82	$154.88	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $208.93 / $281.84	Professional		$69.18	$208.93	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $323.59	Professional		$173.78	$275.42	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $436.52	Facility		$141.25	$141.25	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $316.23	Professional		$104.71	$104.71	$316.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $177.83 / $446.68	Facility		$134.90	$177.83	$446.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $177.83	Professional		$77.62	$77.62	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $186.21	Professional		$30.20	$30.20	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $141.25 / $331.13	Facility		$0.20	$141.25	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $194.98	Professional		$102.33	$134.90	$194.98