Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.72 / $55.72 / $55.72	Facility		$55.72	$55.72	$55.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $55.72 / $98.57	Professional		$49.59	$55.72	$98.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.32 / $101.32 / $101.32	Professional		$101.32	$101.32	$101.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $83.20 / $119.33	Professional		$66.00	$83.20	$119.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.13 / $60.55 / $66.86	Facility		$50.13	$60.55	$66.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $60.55 / $67.70	Professional		$44.20	$60.55	$67.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.57 / $81.00 / $176.80	Facility		$45.57	$81.00	$176.80
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 $76.07 / $76.07 / $76.07	Professional		$76.07	$76.07	$76.07
United Facility/Professional Facility Modifier Low / Median / High Price $118.06 / $118.06 / $118.06	Facility		$118.06	$118.06	$118.06
United Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $50.71 / $66.54	Professional		$36.82	$50.71	$66.54