Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.08 / $86.10 / $213.11	Facility		$86.08	$86.10	$213.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.42 / $199.93 / $470.17	Professional		$116.42	$199.93	$470.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $392.00 / $392.00 / $392.00	Professional		$392.00	$392.00	$392.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $62.24 / $336.11	Facility		$48.96	$62.24	$336.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $63.03 / $244.63	Professional		$50.00	$63.03	$244.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $130.59 / $144.18	Facility		$130.59	$130.59	$144.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $154.66 / $190.85	Professional		$95.33	$154.66	$190.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.68 / $172.14 / $369.42	Facility		$104.68	$172.14	$369.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $172.14 / $172.14 / $172.14	Professional		$172.14	$172.14	$172.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.95 / $158.95 / $158.95	Professional		$158.95	$158.95	$158.95
United Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $112.96 / $141.46	Professional		$78.23	$112.96	$141.46