Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $63.23 / $90.01	Facility		$41.38	$63.23	$90.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $41.38 / $141.10	Professional		$41.38	$41.38	$141.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.81 / $44.48 / $59.17	Professional		$37.81	$44.48	$59.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $52.32 / $74.84	Facility		$42.00	$52.32	$74.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $42.00 / $73.84	Professional		$42.00	$42.00	$73.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $101.95 / $235.97	Facility		$75.20	$101.95	$235.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $32.95 / $59.70	Professional		$20.59	$32.95	$59.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $38.53 / $38.53 / $57.93	Facility		$38.53	$38.53	$57.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $41.38 / $41.38	Professional		$41.38	$41.38	$41.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $33.10 / $46.19	Professional		$25.14	$33.10	$46.19