Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.33 / $91.33 / $91.33	Facility		$91.33	$91.33	$91.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.33 / $91.33 / $151.94	Professional		$91.33	$91.33	$151.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.74 / $183.74 / $183.74	Professional		$183.74	$183.74	$183.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $147.68 / $216.40	Professional		$120.00	$147.68	$216.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.92 / $170.15 / $187.86	Facility		$90.92	$170.15	$187.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $124.21 / $170.15	Professional		$124.21	$124.21	$170.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.84 / $147.00 / $320.61	Facility		$90.84	$147.00	$320.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $115.00 / $123.00	Professional		$115.00	$115.00	$123.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.94 / $137.94 / $137.94	Professional		$137.94	$137.94	$137.94
United Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $101.84 / $153.44	Professional		$68.56	$101.84	$153.44