Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $112.20	Professional		$67.61	$87.10	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $60.26 / $77.62	Professional		$53.70	$60.26	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $112.20	Professional		$72.44	$91.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $147.91	Facility		$89.13	$89.13	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $158.49	Professional		$75.86	$89.13	$158.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $89.13 / $114.82	Facility		$25.70	$89.13	$114.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $81.28	Professional		$69.18	$69.18	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $12.88	Professional		$9.77	$9.77	$12.88
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $10.96 / $107.15	Facility		$7.76	$10.96	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $13.49 / $104.71	Professional		$5.89	$13.49	$104.71