Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.60 / $58.36 / $77.81	Facility		$33.60	$58.36	$77.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.42 / $67.06 / $103.33	Professional		$52.42	$67.06	$103.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $57.90 / $90.02	Professional		$42.48	$57.90	$90.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.01 / $77.17 / $102.02	Professional		$68.01	$77.17	$102.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $66.00 / $111.19	Professional		$45.00	$66.00	$111.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.40 / $72.89 / $108.43	Facility		$57.40	$72.89	$108.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $65.00 / $68.01	Professional		$25.00	$65.00	$68.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.30 / $112.41 / $178.53	Professional		$81.30	$112.41	$178.53
United Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $71.79 / $105.75	Professional		$54.75	$71.79	$105.75