Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.66 / $131.66 / $131.66	Facility		$131.66	$131.66	$131.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.34 / $131.66 / $219.06	Professional		$126.34	$131.66	$219.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $294.32 / $294.32 / $294.32	Professional		$294.32	$294.32	$294.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $220.63 / $311.98	Professional		$175.00	$220.63	$311.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.09 / $166.52 / $183.86	Facility		$131.09	$166.52	$183.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $166.52 / $176.99	Professional		$121.56	$166.52	$176.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $130.97 / $211.00 / $462.23	Facility		$130.97	$211.00	$462.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $178.00	Professional		$165.00	$165.00	$178.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $198.88 / $198.88 / $198.88	Professional		$198.88	$198.88	$198.88
United Facility/Professional Professional Modifier Low / Median / High Price $110.80 / $144.03 / $200.33	Professional		$110.80	$144.03	$200.33