Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $97.72	Professional		$38.02	$52.48	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $112.20 / $131.83	Professional		$66.07	$112.20	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $60.26 / $162.18	Facility		$50.12	$60.26	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $107.15	Professional		$44.67	$44.67	$107.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $54.95 / $61.66	Professional		$44.67	$54.95	$61.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $75.86 / $177.83	Facility		$47.86	$75.86	$177.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.84	Professional		$28.18	$28.18	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $75.86	Professional		$30.20	$30.20	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $54.95 / $120.23	Facility		$43.65	$54.95	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $53.70 / $70.79	Professional		$37.15	$53.70	$70.79