Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.07 / $65.80 / $77.42	Facility		$58.07	$65.80	$77.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $62.06 / $82.32	Professional		$48.42	$62.06	$82.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $42.71 / $53.16	Professional		$42.49	$42.71	$53.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.49 / $70.88 / $95.24	Professional		$63.49	$70.88	$95.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $69.00 / $117.00	Professional		$48.00	$69.00	$117.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.13 / $75.19 / $109.62	Facility		$58.13	$75.19	$109.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $63.49 / $65.00	Professional		$25.00	$63.49	$65.00
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 $49.52 / $70.70 / $114.26	Professional		$49.52	$70.70	$114.26