Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $234.42	Professional		$58.88	$89.13	$234.42
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $75.86 / $75.86 / $75.86	Professional	52	$75.86	$75.86	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $72.44 / $100.00	Professional		$61.66	$72.44	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $208.93	Professional		$69.18	$97.72	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $154.88	Professional		$75.86	$102.33	$154.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $147.91	Professional		$138.04	$138.04	$147.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
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 $58.88 / $81.28 / $154.88	Professional		$58.88	$81.28	$154.88