Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.11 / $155.11 / $155.11	Facility		$155.11	$155.11	$155.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.11 / $155.11 / $258.07	Professional		$155.11	$155.11	$258.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.04 / $242.72 / $346.74	Professional		$169.04	$242.72	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.00 / $258.45 / $367.54	Professional		$205.00	$258.45	$367.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.43 / $232.98 / $257.22	Facility		$154.43	$232.98	$257.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $208.51 / $232.98	Professional		$170.08	$208.51	$232.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.29 / $249.00 / $544.54	Facility		$154.29	$249.00	$544.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $195.00 / $210.00	Professional		$195.00	$195.00	$210.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $234.29 / $234.29 / $234.29	Professional		$234.29	$234.29	$234.29
United Facility/Professional Professional Modifier Low / Median / High Price $135.44 / $172.98 / $260.63	Professional		$135.44	$172.98	$260.63