Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $72.44 / $100.00	Facility		$54.95	$72.44	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $77.62	Professional		$69.18	$69.18	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $64.57	Professional		$54.95	$54.95	$64.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $70.79 / $120.23	Facility		$48.98	$70.79	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $97.72	Professional		$81.28	$85.11	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $81.28 / $93.33	Facility		$69.18	$81.28	$93.33
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 Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $81.28 / $93.33	Professional		$77.62	$81.28	$93.33