Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $81.28 / $173.78	Professional		$53.70	$81.28	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $79.43 / $134.90	Professional		$66.07	$79.43	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $91.20 / $177.83	Professional		$89.13	$91.20	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $169.82	Professional		$74.13	$100.00	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
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 $56.23 / $87.10 / $151.36	Professional		$56.23	$87.10	$151.36