Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $138.04 / $173.78	Facility		$66.07	$138.04	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $66.07 / $104.71	Professional		$61.66	$66.07	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $52.48 / $61.66	Professional		$51.29	$52.48	$61.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $72.44 / $79.43	Facility		$63.10	$72.44	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $93.33	Professional		$75.86	$81.28	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $74.13 / $89.13	Facility		$66.07	$74.13	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $51.29 / $63.10	Professional		$30.20	$51.29	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $79.43	Professional		$63.10	$74.13	$79.43