Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $288.40	Facility		$61.66	$100.00	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $151.36	Professional		$77.62	$100.00	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $79.43 / $93.33	Professional		$72.44	$79.43	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $70.79	Facility		$30.90	$30.90	$70.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $120.23 / $138.04	Professional		$112.20	$120.23	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $114.82 / $134.90	Facility		$52.48	$114.82	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $93.33 / $117.49	Professional		$30.20	$93.33	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $117.49	Professional		$95.50	$112.20	$117.49