Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $66.07 / $77.62	Facility		$57.54	$66.07	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $109.65 / $165.96	Professional		$57.54	$109.65	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $66.07 / $128.82	Professional		$58.88	$66.07	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $77.62 / $93.33	Professional		$72.44	$77.62	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $158.49	Professional		$70.79	$87.10	$158.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $107.15 / $190.55	Facility		$77.62	$107.15	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $66.07 / $91.20	Professional		$41.69	$66.07	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $120.23	Professional		$63.10	$74.13	$120.23