Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $72.25 / $98.16	Facility		$21.00	$72.25	$98.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.15 / $98.16 / $123.68	Professional		$98.15	$98.16	$123.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $98.16 / $98.16	Professional		$98.16	$98.16	$98.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.34 / $51.38 / $86.28	Facility		$25.34	$51.38	$86.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.93 / $103.33 / $122.70	Professional		$90.93	$103.33	$122.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Facility		$96.58	$96.58	$96.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.75 / $98.16 / $212.06	Facility		$42.75	$98.16	$212.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $72.06 / $105.91	Professional		$35.06	$72.06	$105.91
United Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $103.33 / $112.88	Professional		$98.16	$103.33	$112.88