Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.56 / $78.56 / $78.56	Facility		$78.56	$78.56	$78.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.43 / $111.69 / $192.39	Professional		$72.43	$111.69	$192.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.23 / $115.39 / $188.79	Professional		$83.23	$115.39	$188.79
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 $64.00 / $96.09 / $141.43	Professional		$64.00	$96.09	$141.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $110.81 / $110.81	Facility		$110.81	$110.81	$110.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.73 / $113.35 / $184.67	Professional		$75.73	$113.35	$184.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $76.40 / $106.62 / $187.60	Facility		$76.40	$106.62	$187.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $95.00 / $142.00	Professional		$50.00	$95.00	$142.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.10 / $89.85 / $129.11	Professional		$54.10	$89.85	$129.11
United Facility/Professional Professional Modifier Low / Median / High Price $82.94 / $109.57 / $169.72	Professional		$82.94	$109.57	$169.72