Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.81 / $177.02 / $248.04	Facility		$63.81	$177.02	$248.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.57 / $85.78 / $683.31	Professional		$60.57	$85.78	$683.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $95.96 / $95.96	Professional		$81.56	$95.96	$95.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.61 / $63.78 / $106.72	Professional		$53.61	$63.78	$106.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $67.95 / $67.95	Facility		$67.95	$67.95	$67.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $75.34 / $121.21	Professional		$58.60	$75.34	$121.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.81 / $68.12 / $108.48	Facility		$63.81	$68.12	$108.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.93 / $48.93 / $48.93	Professional		$48.93	$48.93	$48.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $40.55 / $63.51	Professional		$32.34	$40.55	$63.51
United Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $68.91 / $98.18	Professional		$53.14	$68.91	$98.18