Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $54.55 / $54.55	Facility		$54.55	$54.55	$54.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.99 / $54.55 / $96.50	Professional		$48.99	$54.55	$96.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.19 / $99.19 / $99.19	Professional		$99.19	$99.19	$99.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $80.69 / $116.82	Professional		$64.00	$80.69	$116.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.09 / $62.81 / $69.34	Facility		$49.09	$62.81	$69.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $62.81 / $66.28	Professional		$45.85	$62.81	$66.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.25 / $79.00 / $173.09	Facility		$48.25	$79.00	$173.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $62.00 / $67.00	Professional		$62.00	$62.00	$67.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.47 / $74.47 / $74.47	Professional		$74.47	$74.47	$74.47
United Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $50.92 / $66.28	Professional		$36.36	$50.92	$66.28