Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.04 / $71.04 / $71.04	Facility		$71.04	$71.04	$71.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $71.04 / $77.80	Professional		$28.80	$71.04	$77.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $79.97 / $88.85	Professional		$57.75	$79.97	$88.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.64 / $74.39 / $103.74	Professional		$55.64	$74.39	$103.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $59.47 / $63.11	Facility		$59.47	$59.47	$63.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $56.23 / $69.80	Professional		$43.41	$56.23	$69.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.34 / $77.80 / $148.04	Facility		$43.34	$77.80	$148.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $59.00 / $59.00	Professional		$59.00	$59.00	$59.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.03 / $60.03 / $3,000.00	Professional		$60.03	$60.03	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.55 / $43.21 / $63.26	Professional		$29.55	$43.21	$63.26