Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $88.90 / $116.75	Facility		$66.90	$88.90	$116.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $91.93 / $143.00	Professional		$68.95	$91.93	$143.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.19 / $73.26 / $97.29	Professional		$58.19	$73.26	$97.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.99 / $97.29 / $145.49	Professional		$96.99	$97.29	$145.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $92.30 / $167.42	Professional		$62.87	$92.30	$167.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.45 / $100.91 / $172.11	Facility		$77.45	$100.91	$172.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $80.00 / $96.99	Professional		$60.00	$80.00	$96.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.03 / $121.29 / $189.22	Professional		$97.03	$121.29	$189.22
United Facility/Professional Facility Modifier Low / Median / High Price $138.33 / $138.33 / $138.33	Facility		$138.33	$138.33	$138.33
United Facility/Professional Professional Modifier Low / Median / High Price $82.63 / $103.58 / $156.77	Professional		$82.63	$103.58	$156.77