Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.80 / $112.11 / $169.39	Facility		$44.80	$112.11	$169.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.87 / $95.06 / $168.17	Professional		$88.87	$95.06	$168.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.85 / $172.85 / $172.85	Professional		$172.85	$172.85	$172.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.42 / $51.39 / $277.52	Facility		$40.42	$51.39	$277.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.76 / $159.99 / $228.58	Professional		$123.76	$159.99	$228.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.77 / $106.63 / $117.73	Facility		$24.77	$106.63	$117.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $106.63 / $121.71	Professional		$77.84	$106.63	$121.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.47 / $138.00 / $301.62	Facility		$85.47	$138.00	$301.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $107.00 / $107.00	Professional		$107.00	$107.00	$107.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.78 / $129.78 / $129.78	Professional		$129.78	$129.78	$129.78
United Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $91.55 / $120.47	Professional		$63.88	$91.55	$120.47