Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.86 / $87.69 / $109.48	Facility		$81.86	$87.69	$109.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $86.39 / $126.20	Professional		$69.02	$86.39	$126.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.92 / $120.92 / $120.92	Professional		$120.92	$120.92	$120.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $87.00 / $92.00	Professional		$87.00	$87.00	$92.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $98.00 / $142.88	Professional		$69.00	$98.00	$142.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.43 / $97.85 / $146.77	Facility		$74.43	$97.85	$146.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $74.70 / $80.00	Professional		$74.70	$74.70	$80.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.97 / $111.24 / $170.36	Professional		$80.97	$111.24	$170.36
United Facility/Professional Professional Modifier Low / Median / High Price $84.73 / $104.22 / $163.69	Professional		$84.73	$104.22	$163.69