Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $88.80 / $113.12	Professional		$80.59	$88.80	$113.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $54.31	Professional		$36.00	$36.00	$54.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $91.00 / $114.73	Professional		$73.00	$91.00	$114.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.70 / $88.70 / $147.24	Facility		$88.70	$88.70	$147.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.40 / $75.40 / $157.50	Professional		$75.40	$75.40	$157.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.98 / $88.80 / $113.12	Facility		$24.98	$88.80	$113.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $190.00 / $190.00	Professional		$190.00	$190.00	$190.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $9.67 / $12.89	Professional		$9.67	$9.67	$12.89
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $13.06 / $98.30	Professional		$5.37	$13.06	$98.30