Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $173.78 / $239.88	Facility		$128.82	$173.78	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $81.28 / $125.89	Professional		$72.44	$81.28	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $74.13	Professional		$63.10	$74.13	$74.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $85.11 / $104.71	Facility		$56.23	$85.11	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $107.15	Professional		$72.44	$91.20	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $93.33 / $93.33	Facility		$69.18	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $95.50 / $204.17	Facility		$60.26	$95.50	$204.17
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 / $97.72 / $102.33	Professional		$83.18	$97.72	$102.33