Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.28 / $149.28 / $149.28	Facility		$149.28	$149.28	$149.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.28 / $149.28 / $248.36	Professional		$149.28	$149.28	$248.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.66 / $233.58 / $333.68	Professional		$162.66	$233.58	$333.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $245.84 / $353.70	Professional		$195.00	$245.84	$353.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.34 / $209.59 / $231.41	Facility		$71.34	$209.59	$231.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $200.66 / $209.59	Professional		$153.00	$200.66	$209.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $148.49 / $240.00 / $524.05	Facility		$148.49	$240.00	$524.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $188.00 / $202.00	Professional		$188.00	$188.00	$202.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $225.48 / $225.48 / $225.48	Professional		$225.48	$225.48	$225.48
United Facility/Professional Facility Modifier Low / Median / High Price $125.70 / $250.82 / $256.52	Facility		$125.70	$250.82	$256.52
United Facility/Professional Professional Modifier Low / Median / High Price $127.04 / $166.47 / $250.82	Professional		$127.04	$166.47	$250.82