Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.06 / $95.06 / $95.06	Facility		$95.06	$95.06	$95.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $106.85 / $168.17	Professional		$84.81	$106.85	$168.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $153.63 / $195.00 / $195.00	Professional		$153.63	$195.00	$195.00
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 $120.81 / $120.81 / $133.37	Facility		$120.81	$120.81	$133.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $118.47 / $120.81	Professional		$88.19	$118.47	$120.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.06 / $150.33 / $310.76	Facility		$95.06	$150.33	$310.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $150.33 / $150.33	Professional		$150.33	$150.33	$150.33
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 / $133.57	Professional		$63.88	$91.55	$133.57