Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.04 / $53.04 / $53.04	Facility		$53.04	$53.04	$53.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $53.04 / $58.09	Professional		$18.70	$53.04	$58.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $30.18 / $30.18	Professional		$30.18	$30.18	$30.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.50 / $54.21 / $75.61	Professional		$41.50	$54.21	$75.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $39.86 / $49.23	Facility		$30.90	$39.86	$49.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.86 / $49.23	Professional		$33.88	$39.86	$49.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $56.20 / $104.18	Facility		$36.65	$56.20	$104.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $43.00 / $43.00	Professional		$43.00	$43.00	$43.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.74 / $33.74 / $3,000.00	Professional		$33.74	$33.74	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $30.85 / $39.88	Professional		$21.17	$30.85	$39.88