Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $165.96 / $165.96	Facility		$64.57	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $64.57 / $69.18	Professional		$25.70	$64.57	$69.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $48.98	Professional		$22.39	$22.39	$48.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $93.33	Professional		$67.61	$79.43	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $77.62 / $89.13	Facility		$66.07	$77.62	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $91.20	Professional		$30.20	$60.26	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $87.10	Professional		$74.13	$77.62	$87.10