Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.85 / $78.75 / $110.25	Facility		$59.85	$78.75	$110.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.43 / $91.90 / $138.59	Professional		$69.43	$91.90	$138.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.18 / $89.73 / $145.62	Professional		$62.18	$89.73	$145.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.73 / $101.83 / $134.60	Professional		$89.73	$101.83	$134.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $93.02 / $146.43	Professional		$63.00	$93.02	$146.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $76.68 / $97.20 / $147.94	Facility		$76.68	$97.20	$147.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $80.00 / $100.00	Professional		$60.00	$80.00	$100.00
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 $74.20 / $95.74 / $152.76	Professional		$74.20	$95.74	$152.76