Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.45 / $130.90 / $8,033.17	Facility		$65.45	$130.90	$8,033.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $74.81 / $163.61	Professional		$72.06	$74.81	$163.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $73.05 / $77.09	Professional		$72.73	$73.05	$77.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.29 / $105.06 / $188.91	Facility		$60.29	$105.06	$188.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $90.85 / $109.02	Professional		$73.20	$90.85	$109.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $73.20 / $87.83	Facility		$69.06	$73.20	$87.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $78.55	Professional		$73.20	$73.20	$78.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.54 / $73.20 / $127.19	Facility		$62.54	$73.20	$127.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $66.00 / $118.76	Professional		$65.31	$66.00	$118.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.64 / $76.13 / $180.90	Professional		$75.64	$76.13	$180.90
United Facility/Professional Professional Modifier Low / Median / High Price $62.22 / $77.59 / $91.50	Professional		$62.22	$77.59	$91.50