Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $100.00	Facility		$89.13	$89.13	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $245.47	Professional		$75.86	$114.82	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $181.97	Professional		$89.13	$114.82	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $29.51 / $61.66	Facility		$23.99	$29.51	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $117.49	Professional		$63.10	$85.11	$117.49
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 / $114.82 / $223.87	Professional		$74.13	$114.82	$223.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $141.25	Professional		$91.20	$112.20	$141.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $114.82 / $190.55	Facility		$74.13	$114.82	$190.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $120.23	Professional		$53.70	$87.10	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $151.36	Professional		$67.61	$95.50	$151.36