Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $87.10 / $776.25	Facility		$66.07	$87.10	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $199.53	Professional		$72.44	$97.72	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $79.43 / $128.82	Professional		$69.18	$79.43	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $104.71 / $134.90	Professional		$97.72	$104.71	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $151.36	Professional		$60.26	$91.20	$151.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $112.20 / $158.49	Facility		$89.13	$112.20	$158.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $97.72	Professional		$77.62	$77.62	$97.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $158.49	Professional		$79.43	$100.00	$158.49