Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $61.66 / $102.33	Professional		$30.20	$61.66	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $56.23 / $100.00	Professional		$53.70	$56.23	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $91.20	Professional		$50.12	$72.44	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $104.71	Facility		$44.67	$44.67	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $83.18	Professional		$38.02	$38.02	$83.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $46.77	Professional		$35.48	$41.69	$46.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $64.57 / $112.20	Facility		$41.69	$64.57	$112.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $25.12	Professional		$20.42	$20.42	$25.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $47.86	Professional		$30.20	$30.20	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $41.69 / $50.12	Facility		$25.12	$41.69	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $34.67 / $44.67	Professional		$23.99	$34.67	$44.67