Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $82.02 / $240.00	Professional		$65.81	$82.02	$240.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.75 / $70.16 / $100.33	Professional		$55.75	$70.16	$100.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $54.41 / $85.57	Professional		$6.00	$54.41	$85.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $93.44 / $166.18	Professional		$59.63	$93.44	$166.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $57.24 / $196.92	Professional		$56.94	$57.24	$196.92
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $85.86 / $85.86 / $93.02	Professional	50	$85.86	$85.86	$93.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $73.83 / $114.92	Professional		$54.82	$73.83	$114.92
United Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $73.64 / $119.82	Professional		$57.60	$73.64	$119.82