Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.48 / $100.14 / $587.04	Facility		$83.48	$100.14	$587.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $100.14 / $126.17	Professional		$67.73	$100.14	$126.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $71.98 / $71.98	Professional		$71.98	$71.98	$71.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.57 / $56.64 / $70.09	Facility		$30.57	$56.64	$70.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.14 / $113.79 / $136.55	Professional		$100.14	$113.79	$136.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.62 / $106.62 / $106.62	Facility		$106.62	$106.62	$106.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.62 / $106.62 / $106.62	Professional		$106.62	$106.62	$106.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.56 / $110.15 / $135.19	Facility		$52.56	$110.15	$135.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $93.31 / $116.63	Professional		$75.20	$93.31	$116.63
United Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $111.09 / $115.92	Professional		$96.60	$111.09	$115.92