Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.72 / $115.72 / $115.72	Facility		$115.72	$115.72	$115.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.57 / $115.72 / $192.53	Professional		$112.57	$115.72	$192.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $232.81 / $232.81 / $232.81	Professional		$232.81	$232.81	$232.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $189.11 / $274.20	Professional		$150.00	$189.11	$274.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.21 / $161.63 / $178.46	Facility		$115.21	$161.63	$178.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $155.56 / $161.63	Professional		$117.99	$155.56	$161.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $115.11 / $186.00 / $406.25	Facility		$115.11	$186.00	$406.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $145.00 / $156.00	Professional		$145.00	$145.00	$156.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.79 / $174.79 / $174.79	Professional		$174.79	$174.79	$174.79
United Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $194.44 / $204.33	Facility		$0.21	$194.44	$204.33
United Facility/Professional Professional Modifier Low / Median / High Price $98.48 / $129.05 / $194.44	Professional		$98.48	$129.05	$194.44