Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $81.28 / $302.00	Professional		$52.48	$81.28	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $83.18 / $89.13	Professional		$38.90	$83.18	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $83.18 / $109.65	Professional		$77.62	$83.18	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.95 / $257.04	Professional		$42.66	$54.95	$257.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $93.33 / $169.82	Facility		$72.44	$93.33	$169.82
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 $48.98 / $85.11 / $239.88	Professional		$48.98	$85.11	$239.88