Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.33 / $59.33 / $79.73	Facility		$59.33	$59.33	$79.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.01 / $101.91 / $209.22	Professional		$64.01	$101.91	$209.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $137.87 / $172.57	Professional		$54.00	$137.87	$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 $63.48 / $94.85 / $123.74	Professional		$63.48	$94.85	$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 $69.65 / $103.22 / $166.03	Professional		$69.65	$103.22	$166.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $94.61 / $166.06	Facility		$65.91	$94.61	$166.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $85.00 / $130.00	Professional		$45.00	$85.00	$130.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $79.25 / $117.94	Professional		$47.72	$79.25	$117.94
United Facility/Professional Professional Modifier Low / Median / High Price $72.05 / $101.01 / $154.19	Professional		$72.05	$101.01	$154.19