Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Facility		$137.72	$137.72	$137.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $137.72 / $229.15	Professional		$137.72	$137.72	$229.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $277.08 / $277.08 / $277.08	Professional		$277.08	$277.08	$277.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $221.53 / $326.35	Professional		$180.00	$221.53	$326.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.83 / $265.56 / $293.20	Facility		$65.83	$265.56	$293.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.86 / $193.86 / $265.56	Professional		$193.86	$193.86	$265.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $221.00 / $483.52	Facility		$137.00	$221.00	$483.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $173.00 / $186.00	Professional		$173.00	$173.00	$186.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $208.04 / $208.04 / $208.04	Professional		$208.04	$208.04	$208.04
United Facility/Professional Professional Modifier Low / Median / High Price $117.22 / $153.60 / $231.43	Professional		$117.22	$153.60	$231.43