Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.29 / $112.47 / $116.51	Facility		$95.29	$112.47	$116.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $93.21 / $111.12	Professional		$92.03	$93.21	$111.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $89.98	Professional		$54.00	$54.00	$89.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $96.72 / $134.63	Professional		$93.00	$96.72	$134.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.16 / $109.16 / $109.16	Facility		$109.16	$109.16	$109.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $86.90 / $86.90	Professional		$86.90	$86.90	$86.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $92.03 / $93.21 / $140.72	Facility		$92.03	$93.21	$140.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.11 / $93.21 / $215.89	Professional		$45.11	$93.21	$215.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.91 / $92.03 / $143.54	Professional		$74.91	$92.03	$143.54