Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.59 / $55.59 / $55.59	Facility		$55.59	$55.59	$55.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.34 / $55.59 / $98.35	Professional		$53.34	$55.59	$98.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.09 / $101.09 / $101.09	Professional		$101.09	$101.09	$101.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $81.95 / $119.06	Professional		$65.00	$81.95	$119.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.03 / $75.80 / $83.70	Facility		$50.03	$75.80	$83.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $67.55 / $75.80	Professional		$55.33	$67.55	$75.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.98 / $81.00 / $176.40	Facility		$49.98	$81.00	$176.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $63.00 / $68.00	Professional		$63.00	$63.00	$68.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $75.89 / $75.89	Professional		$75.89	$75.89	$75.89
United Facility/Professional Facility Modifier Low / Median / High Price $71.80 / $71.80 / $71.80	Facility		$71.80	$71.80	$71.80
United Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $53.75 / $73.29	Professional		$37.36	$53.75	$73.29