Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.90 / $102.90 / $102.90	Facility		$102.90	$102.90	$102.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.99 / $102.90 / $171.20	Professional		$95.99	$102.90	$171.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $207.01 / $207.01 / $207.01	Professional		$207.01	$207.01	$207.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $170.19 / $243.81	Professional		$135.00	$170.19	$243.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.45 / $175.58 / $193.85	Facility		$102.45	$175.58	$193.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $138.33 / $175.58	Professional		$128.16	$138.33	$175.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.36 / $165.00 / $361.23	Facility		$102.36	$165.00	$361.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $129.00 / $139.00	Professional		$129.00	$129.00	$139.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.43 / $155.43 / $155.43	Professional		$155.43	$155.43	$155.43
United Facility/Professional Professional Modifier Low / Median / High Price $86.69 / $114.76 / $156.72	Professional		$86.69	$114.76	$156.72