Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $204.17 / $239.88	Facility		$58.88	$204.17	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $169.82	Professional		$54.95	$69.18	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $128.82	Professional		$70.79	$89.13	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $724.44 / $724.44	Facility		$295.12	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $144.54	Professional		$74.13	$100.00	$144.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $107.15 / $194.98	Facility		$64.57	$107.15	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $134.90	Professional		$64.57	$81.28	$134.90