Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $204.17	Professional		$70.79	$104.71	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $199.53	Professional		$89.13	$112.20	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $128.82	Professional		$63.10	$89.13	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $223.87	Professional		$72.44	$114.82	$223.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $165.96	Professional		$104.71	$128.82	$165.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $114.82 / $190.55	Facility		$70.79	$114.82	$190.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $69.18 / $107.15	Professional		$45.71	$69.18	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $151.36	Professional		$66.07	$97.72	$151.36