Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.57 / $41.57 / $41.57	Facility		$41.57	$41.57	$41.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.46 / $41.57 / $77.89	Professional		$34.46	$41.57	$77.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $81.95 / $109.82	Professional		$65.00	$81.95	$109.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $67.20 / $74.19	Facility		$67.20	$67.20	$74.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $64.95 / $77.70	Professional		$49.06	$64.95	$77.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.57 / $72.17 / $135.90	Facility		$41.57	$72.17	$135.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.78 / $75.78 / $75.78	Professional		$75.78	$75.78	$75.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.99 / $72.99 / $72.99	Professional		$72.99	$72.99	$72.99
United Facility/Professional Facility Modifier Low / Median / High Price $124.56 / $124.56 / $124.56	Facility		$124.56	$124.56	$124.56
United Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $51.83 / $67.73	Professional		$35.93	$51.83	$67.73