Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $43.65	Professional		$42.66	$42.66	$43.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $147.91	Professional		$63.10	$77.62	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $58.88 / $93.33	Facility		$52.48	$58.88	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $35.48 / $53.70	Professional		$23.44	$35.48	$53.70