Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.50 / $127.55 / $167.06	Facility		$101.50	$127.55	$167.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.54 / $127.54 / $144.00	Professional		$115.54	$127.54	$144.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $96.53 / $96.53	Professional		$96.53	$96.53	$96.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.02 / $116.56 / $127.49	Facility		$103.02	$116.56	$127.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $71.66 / $85.99	Professional		$63.06	$71.66	$85.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Facility		$134.47	$134.47	$134.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Professional		$134.47	$134.47	$134.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $127.55 / $143.32 / $172.19	Facility		$127.55	$143.32	$172.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.99 / $97.62 / $122.02	Professional		$93.99	$97.62	$122.02
United Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $134.99 / $144.07	Professional		$120.06	$134.99	$144.07