Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $90.10 / $102.53	Facility		$73.37	$90.10	$102.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.91 / $101.18 / $229.97	Professional		$65.91	$101.18	$229.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.95 / $97.20 / $172.57	Professional		$81.95	$97.20	$172.57
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 $66.00 / $95.97 / $123.74	Professional		$66.00	$95.97	$123.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $97.37 / $97.37	Facility		$97.37	$97.37	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.59 / $103.55 / $166.71	Professional		$69.59	$103.55	$166.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.78 / $94.61 / $166.69	Facility		$65.78	$94.61	$166.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $86.00 / $130.00	Professional		$40.00	$86.00	$130.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $79.25 / $118.31	Professional		$47.72	$79.25	$118.31
United Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $102.02 / $154.68	Professional		$76.00	$102.02	$154.68