Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $100.00	Professional		$63.10	$77.62	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $169.82	Professional		$107.15	$141.25	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $117.49	Facility		$91.20	$91.20	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $158.49	Professional		$77.62	$91.20	$158.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $100.00 / $208.93	Facility		$66.07	$100.00	$208.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $53.70	Professional		$45.71	$45.71	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $50.12 / $89.13	Professional		$6.17	$50.12	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $63.10 / $100.00	Facility		$7.94	$63.10	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $117.49	Professional		$54.95	$74.13	$117.49