Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.15 / $98.18 / $115.50	Facility		$87.15	$98.18	$115.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.26 / $86.21 / $125.51	Professional		$61.26	$86.21	$125.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.27 / $80.31 / $161.22	Professional		$68.27	$80.31	$161.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $90.07 / $120.48	Professional		$80.31	$90.07	$120.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $89.36 / $148.40	Professional		$62.00	$89.36	$148.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.27 / $87.42 / $142.75	Facility		$68.27	$87.42	$142.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $80.31	Professional		$40.00	$40.00	$80.31
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 $68.73 / $91.17 / $138.59	Professional		$68.73	$91.17	$138.59