Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.81 / $61.76 / $82.36	Facility		$49.81	$61.76	$82.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.45 / $76.09 / $190.90	Professional		$56.45	$76.09	$190.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.77 / $88.52 / $132.05	Professional		$73.77	$88.52	$132.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $47.00 / $74.00	Professional		$47.00	$47.00	$74.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.96 / $89.96 / $89.96	Facility		$89.96	$89.96	$89.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $8.72 / $8.72 / $8.72	Facility	AS	$8.72	$8.72	$8.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.30 / $84.03 / $145.30	Professional		$62.30	$84.03	$145.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $76.00 / $134.36	Facility		$66.00	$76.00	$134.36
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $93.00 / $103.50 / $164.61	Facility	50	$93.00	$103.50	$164.61
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $12.40 / $14.00 / $21.95	Facility	80	$12.40	$14.00	$21.95
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $8.68 / $9.80 / $15.36	Facility	AS	$8.68	$9.80	$15.36
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 $58.11 / $70.61 / $123.56	Professional		$58.11	$70.61	$123.56