Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $77.62 / $239.88	Facility		$60.26	$77.62	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $57.54 / $93.33	Professional		$50.12	$57.54	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $57.54 / $112.20	Facility		$26.92	$57.54	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $61.66 / $72.44	Professional		$54.95	$61.66	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $57.54 / $57.54	Facility		$53.70	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $64.57 / $154.88	Facility		$45.71	$64.57	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $57.54 / $123.03	Facility		$54.95	$57.54	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $63.10	Professional		$54.95	$57.54	$63.10