Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.86 / $182.86 / $182.86	Facility		$182.86	$182.86	$182.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.86 / $182.86 / $182.86	Professional		$182.86	$182.86	$182.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $253.80 / $253.80 / $253.80	Professional		$253.80	$253.80	$253.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $15.45 / $19.48	Professional		$12.00	$15.45	$19.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.84 / $179.84 / $179.84	Professional		$179.84	$179.84	$179.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.20 / $182.86 / $246.86	Facility		$97.20	$182.86	$246.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $94.97 / $94.97 / $94.97	Professional		$94.97	$94.97	$94.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.56 / $30.56	Professional		$30.00	$30.56	$30.56