Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.42 / $122.42 / $122.42	Facility		$122.42	$122.42	$122.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.55 / $122.42 / $203.67	Professional		$118.55	$122.42	$203.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $184.71 / $184.71 / $184.71	Professional		$184.71	$184.71	$184.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $196.91 / $296.82	Professional		$160.00	$196.91	$296.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.87 / $170.64 / $188.39	Facility		$121.87	$170.64	$188.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $124.57 / $170.64	Professional		$108.00	$124.57	$170.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.76 / $197.00 / $429.39	Facility		$121.76	$197.00	$429.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $154.00 / $174.79	Professional		$154.00	$154.00	$174.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.90 / $184.90 / $184.90	Professional		$184.90	$184.90	$184.90
United Facility/Professional Professional Modifier Low / Median / High Price $91.92 / $133.49 / $204.92	Professional		$91.92	$133.49	$204.92