Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.10 / $105.26 / $105.26	Facility		$90.10	$105.26	$105.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.25 / $92.82 / $207.75	Professional		$57.25	$92.82	$207.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.66 / $96.00 / $161.91	Professional		$82.66	$96.00	$161.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.77 / $28.35 / $59.62	Facility		$23.77	$28.35	$59.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.34 / $84.56 / $116.10	Professional		$63.34	$84.56	$116.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $94.92 / $153.55	Professional		$60.32	$94.92	$153.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.48 / $86.40 / $155.76	Facility		$60.48	$86.40	$155.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $77.00 / $122.00	Professional		$40.00	$77.00	$122.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.55 / $72.32 / $111.01	Professional		$43.55	$72.32	$111.01
United Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $94.13 / $144.16	Professional		$68.31	$94.13	$144.16