Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.10 / $59.05 / $69.47	Facility		$52.10	$59.05	$69.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $97.45 / $203.47	Professional		$59.04	$97.45	$203.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $92.05 / $137.31	Professional		$76.70	$92.05	$137.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.63 / $671.77 / $780.00	Facility		$616.63	$671.77	$780.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $81.00 / $105.00	Professional		$81.00	$81.00	$105.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.44 / $94.44 / $94.44	Facility		$94.44	$94.44	$94.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.45 / $107.92 / $195.37	Professional		$81.45	$107.92	$195.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.28 / $98.00 / $170.63	Facility		$72.28	$98.00	$170.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.51 / $112.99 / $162.82	Professional		$92.51	$112.99	$162.82
United Facility/Professional Professional Modifier Low / Median / High Price $77.92 / $98.78 / $183.75	Professional		$77.92	$98.78	$183.75