Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.35 / $79.81 / $94.45	Professional		$52.35	$79.81	$94.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $76.92 / $110.59	Professional		$38.46	$76.92	$110.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.92 / $76.92 / $319.88	Professional		$76.92	$76.92	$319.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $55.23 / $290.42	Professional		$43.15	$55.23	$290.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $139.75 / $197.42	Facility		$76.00	$139.75	$197.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $94.64 / $141.96	Professional		$80.09	$94.64	$141.96
United Facility/Professional Professional Modifier Low / Median / High Price $48.93 / $66.14 / $177.56	Professional		$48.93	$66.14	$177.56