Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $85.11 / $85.11	Facility		$83.18	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $83.18 / $107.15	Professional		$77.62	$83.18	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $83.18	Professional		$74.13	$74.13	$83.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $173.78 / $316.23	Facility		$77.62	$173.78	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $107.15 / $123.03	Professional		$100.00	$107.15	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $102.33 / $125.89	Facility		$85.11	$102.33	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $95.50 / $131.83	Professional		$83.18	$95.50	$131.83