Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $97.72 / $263.03	Professional		$58.88	$97.72	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $67.61 / $85.11	Professional		$61.66	$67.61	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $134.90	Professional		$75.86	$75.86	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $194.98	Professional		$70.79	$89.13	$194.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $93.33 / $151.36	Facility		$61.66	$93.33	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $120.23	Professional		$63.10	$74.13	$120.23