Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $269.15	Professional		$144.54	$177.83	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $251.19	Professional		$239.88	$239.88	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $338.84 / $398.11	Professional		$199.53	$338.84	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $218.78 / $588.84	Facility		$151.36	$218.78	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $398.11	Professional		$162.18	$162.18	$398.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $223.87	Professional		$186.21	$204.17	$223.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $257.04 / $537.03	Facility		$151.36	$257.04	$537.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $104.71	Professional		$102.33	$102.33	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $229.09	Professional		$30.20	$30.20	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $239.88 / $436.52	Facility		$190.55	$239.88	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $239.88	Professional		$131.83	$169.82	$239.88