Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $67.81 / $79.78	Facility		$59.84	$67.81	$79.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $65.62 / $102.38	Professional		$48.72	$65.62	$102.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.72 / $63.38 / $89.11	Professional		$53.72	$63.38	$89.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $70.88 / $94.80	Professional		$63.20	$70.88	$94.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $69.00 / $116.13	Professional		$38.00	$69.00	$116.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.29 / $68.59 / $112.86	Facility		$48.29	$68.59	$112.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $63.20	Professional		$25.00	$25.00	$63.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $112.41 / $178.53	Professional		$82.40	$112.41	$178.53
United Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $70.54 / $108.26	Professional		$42.28	$70.54	$108.26