Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $84.82 / $154.00	Professional		$51.95	$84.82	$154.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $93.48 / $120.51	Professional		$70.37	$93.48	$120.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.28 / $85.23 / $106.21	Professional		$66.28	$85.23	$106.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.68 / $73.68 / $73.68	Facility		$73.68	$73.68	$73.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.41 / $90.06 / $129.80	Professional		$66.41	$90.06	$129.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $100.00 / $147.47	Facility		$64.17	$100.00	$147.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $110.00 / $123.38	Professional		$100.00	$110.00	$123.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.94 / $57.43 / $86.57	Professional		$40.94	$57.43	$86.57
United Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $89.27 / $139.02	Professional		$73.81	$89.27	$139.02