Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $58.88	Professional		$33.88	$46.77	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $89.13	Professional		$51.29	$72.44	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $128.82	Professional		$85.11	$107.15	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $43.65 / $74.13	Facility		$38.90	$43.65	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $75.86	Professional		$37.15	$43.65	$75.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $60.26 / $169.82	Facility		$43.65	$60.26	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $43.65	Professional		$37.15	$37.15	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $33.88 / $45.71	Professional		$4.47	$33.88	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $31.62 / $66.07	Facility		$4.17	$31.62	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $50.12 / $91.20	Professional		$30.90	$50.12	$91.20