Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.15 / $95.36 / $112.19	Facility		$84.15	$95.36	$112.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.62 / $89.41 / $129.00	Professional		$68.62	$89.41	$129.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $77.23 / $97.55	Professional		$57.92	$77.23	$97.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $103.00 / $107.00	Professional		$103.00	$103.00	$107.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $102.00 / $143.09	Professional		$74.00	$102.00	$143.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $76.84 / $102.45 / $146.68	Facility		$76.84	$102.45	$146.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $112.42 / $178.53	Professional		$82.40	$112.42	$178.53
United Facility/Professional Professional Modifier Low / Median / High Price $89.30 / $107.61 / $168.92	Professional		$89.30	$107.61	$168.92