Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.29 / $47.29 / $47.29	Facility		$47.29	$47.29	$47.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $47.29 / $83.67	Professional		$40.14	$47.29	$83.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.11 / $62.11 / $62.11	Professional		$62.11	$62.11	$62.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $70.59 / $101.28	Professional		$56.00	$70.59	$101.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.56 / $52.95 / $58.46	Facility		$42.56	$52.95	$58.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $52.95 / $57.46	Professional		$38.65	$52.95	$57.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.43 / $69.00 / $132.18	Facility		$35.43	$69.00	$132.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $58.00	Professional		$54.00	$54.00	$58.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $64.56 / $64.56	Professional		$64.56	$64.56	$64.56
United Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $44.08 / $57.45	Professional		$29.80	$44.08	$57.45