Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.67 / $57.42 / $79.05	Facility		$50.67	$57.42	$79.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.42 / $77.12 / $208.08	Professional		$57.42	$77.12	$208.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $90.38 / $134.82	Professional		$76.09	$90.38	$134.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $44.00 / $90.17	Professional		$44.00	$44.00	$90.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.96 / $91.96 / $91.96	Facility		$91.96	$91.96	$91.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.77 / $90.54 / $156.85	Professional		$68.77	$90.54	$156.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.55 / $84.00 / $137.08	Facility		$67.55	$84.00	$137.08
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 $60.19 / $73.48 / $112.58	Professional		$60.19	$73.48	$112.58