Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $100.00 / $141.25	Facility		$83.18	$100.00	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $114.82 / $245.47	Professional		$74.13	$114.82	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $204.17	Professional		$91.20	$117.49	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $128.82	Professional		$61.66	$87.10	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $229.09	Professional		$74.13	$120.23	$229.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $162.18	Professional		$102.33	$125.89	$162.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $117.49 / $199.53	Facility		$74.13	$117.49	$199.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $79.43 / $112.20	Professional		$48.98	$79.43	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $158.49	Professional		$67.61	$100.00	$158.49