Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $81.28 / $162.18	Facility		$77.62	$81.28	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $363.08	Professional		$141.25	$181.97	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $331.13	Professional		$158.49	$251.19	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $389.05	Professional		$190.55	$316.23	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $194.98 / $549.54	Facility		$147.91	$194.98	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $363.08	Professional		$141.25	$141.25	$363.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $229.09	Professional		$154.88	$208.93	$229.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $263.03 / $537.03	Facility		$162.18	$263.03	$537.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $223.87	Professional		$30.20	$30.20	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $181.97 / $426.58	Facility		$154.88	$181.97	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $208.93	Professional		$125.89	$162.18	$208.93