Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.53 / $95.06 / $156.00	Professional		$85.53	$95.06	$156.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.10 / $154.10 / $154.10	Professional		$154.10	$154.10	$154.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.04 / $120.32 / $120.32	Professional		$110.04	$120.32	$120.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $81.84 / $81.84	Professional		$81.84	$81.84	$81.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $92.85 / $95.06 / $169.31	Facility		$92.85	$95.06	$169.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.42 / $113.57 / $180.39	Professional		$82.42	$113.57	$180.39
United Facility/Professional Professional Modifier Low / Median / High Price $83.45 / $97.42 / $169.83	Professional		$83.45	$97.42	$169.83