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 $28.18 / $41.69 / $57.54	Professional		$28.18	$41.69	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $57.54 / $67.61	Professional		$30.90	$57.54	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $67.61 / $77.62	Professional		$42.66	$67.61	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $39.81 / $107.15	Facility		$30.90	$39.81	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $77.62	Professional		$33.88	$33.88	$77.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $42.66 / $47.86	Professional		$33.11	$42.66	$47.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $58.88 / $107.15	Facility		$37.15	$58.88	$107.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $22.39	Professional		$18.20	$18.20	$22.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $33.88	Professional		$30.20	$30.20	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $37.15 / $43.65	Facility		$22.39	$37.15	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $42.66	Professional		$21.88	$33.11	$42.66