Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.11 / $76.11 / $109.58	Facility		$76.11	$76.11	$109.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $90.16 / $128.69	Professional		$62.33	$90.16	$128.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.89 / $127.39 / $127.39	Professional		$124.89	$127.39	$127.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.94 / $159.50 / $171.81	Facility		$154.94	$159.50	$171.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $103.61 / $209.52	Professional		$70.06	$103.61	$209.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.81 / $93.44 / $159.72	Facility		$62.81	$93.44	$159.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $43.62 / $88.37	Professional		$43.62	$43.62	$88.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.67 / $139.19 / $174.40	Professional		$106.67	$139.19	$174.40
United Facility/Professional Professional Modifier Low / Median / High Price $73.03 / $96.05 / $171.28	Professional		$73.03	$96.05	$171.28