Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $83.18	Professional		$30.20	$45.71	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $95.50 / $112.20	Professional		$56.23	$95.50	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $52.48 / $128.82	Facility		$42.66	$52.48	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $109.65	Professional		$38.90	$38.90	$109.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $47.86 / $47.86	Professional		$42.66	$47.86	$47.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $64.57 / $131.83	Facility		$42.66	$64.57	$131.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $64.57	Professional		$30.20	$30.20	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $41.69 / $97.72	Facility		$35.48	$41.69	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $45.71 / $57.54	Professional		$29.51	$45.71	$57.54