Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.30 / $87.61 / $103.07	Facility		$77.30	$87.61	$103.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $81.29 / $115.05	Professional		$65.66	$81.29	$115.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.91 / $76.91 / $144.97	Professional		$76.91	$76.91	$144.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $88.00	Professional		$80.00	$80.00	$88.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $91.00 / $134.97	Professional		$66.00	$91.00	$134.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.76 / $94.39 / $140.32	Facility		$73.76	$94.39	$140.32
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 $77.15 / $94.43 / $155.32	Professional		$77.15	$94.43	$155.32