Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $56.23 / $77.62	Professional		$30.20	$56.23	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $63.10 / $89.13	Professional		$46.77	$63.10	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $107.15	Professional		$58.88	$89.13	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $141.25	Facility		$58.88	$58.88	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $102.33	Professional		$43.65	$43.65	$102.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $58.88	Professional		$44.67	$44.67	$58.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $79.43 / $154.88	Facility		$53.70	$79.43	$154.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $31.62	Professional		$25.70	$25.70	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $60.26	Professional		$30.20	$30.20	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $58.88 / $67.61	Facility		$45.71	$58.88	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $63.10	Professional		$33.11	$43.65	$63.10